Doctor Name: | DR. ROBERT ELWIN MILTON |
NPI Number: | 1164685962 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | A19222 |
Business Practice Address: | 1519 S Oregon St Yreka, CA - 960973425 |
Business Phone Number: | 5308429200 |
Business Fax Number: | 5308429207 |
Mailing Address: | 1924 Bechelli Ln, REDDING |
State: | CA |
Postal Code: | 960020128 |
Phone Number: | 7758134337 |
Fax Number: | 7753595270 |
NPI Enumeration Date: | 07/02/2008 |
NPI Last Update Date: | 07/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A19222 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |