Organization Name: | JOHN G.O. MILLER, PHD, M.D., A PROFESSIONAL CORPORATION |
NPI Number: | 1134217276 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN G.O. MILLER (OWNER, PRES.) |
Mailing Address: | 39000 Bob Hope Dr Kiewit 207 Rancho Mirage |
State: | CA US |
Postal Code: | 922703221 |
Phone Number: | 7607733311 |
Fax Number: | 7607733811 |
NPI Enumeration Date: | 10/11/2006 |
NPI Last Update Date: | 02/10/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | A76868 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |