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Individual

ROBERT JOSEPH MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
9507 HOSPITAL AVE, NASSAWADOX, VA 23413-0017
(757) 414-8000
Mailing address
3998 FAIR RIDGE DR, STE 300, FAIRFAX, VA 22033-2921
(703) 766-9737
(703) 766-9725

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024170597
VA
367500000X
Certified Registered Nurse Anesthetist
ARNP921629
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
306689400
FL
01
G3640
BCBSFL
FL
01
P00236665
RRMCR
FL
05
PENDING
VA
Enumeration date
08/21/2006
Last updated
03/19/2015
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