Organization
REBECCA D MILLER MD
Active
Organization
REBECCA D MILLER MD
Active
Parent organization
REBECCA D MILLER MD
Organization subpart
Yes
Provider details
NPI number
Legal business name
REBECCA D MILLER MD
Authorized official
MRS. REBECCA D MILLER MD (MD OWNER)
(805) 964-1514
Entity
Organization
Contact information
Practice address
1111 EAST OCEAN AVE, SUITE #10, LOMPOC, CA 93436
(805) 736-2512
(805) 736-3183
Mailing address
1111 EAST OCEAN AVE, SUITE #10, LOMPOC, CA 93436
(805) 736-2512
(805) 736-3183
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A55231
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A552310
—
CA
Enumeration date
07/25/2007
Last updated
08/16/2007
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