Individual
DR. RANDALL D MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
BUILDING 3406 ALDER STREET, KAMISH CLINIC, FORT WAINWRIGHT, AK 99703-0000
(907) 353-4183
Mailing address
1001 NOBLE ST, FAIRBANKS, AK 99701-4922
(907) 353-4183
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5596
AK
207Q00000X
Family Medicine Physician
79045
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD0384
—
AK
Enumeration date
10/12/2006
Last updated
03/07/2023
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