Individual
JASON JAY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17617 BURKE ST, OMAHA, NE 68118-2259
(402) 596-4000
Mailing address
18713 EDNA ST, OMAHA, NE 68136
(650) 714-9012
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
22270
NE
2086S0122X
Plastic and Reconstructive Surgery Physician
22270
NE
Other
Enumeration date
07/24/2006
Last updated
04/19/2019
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