Individual
PAUL J MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2230 LYNN RD, SUITE 103, THOUSAND OAKS, CA 91360-1901
(805) 496-4111
(805) 496-2861
Mailing address
2230 LYNN RD STE 103, THOUSAND OAKS, CA 91360-1958
(208) 437-2114
(208) 437-2113
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
G65396
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G653960
—
CA
Enumeration date
08/19/2005
Last updated
08/05/2022
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