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Individual

BENJAMIN ADAM MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
6434
AK
208600000X
Surgery Physician
DO26618
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1008484
AK
05
240380
OR
Enumeration date
05/25/2006
Last updated
04/02/2024
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