Doctor Name: | SCOTT FLINN MILLER |
NPI Number: | 1669695995 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 10412 |
Business Practice Address: | 1425 Park Terrace Sw Albany, OR - 97321 |
Business Phone Number: | 5417911732 |
Business Fax Number: | 5417911732 |
Mailing Address: | 1425 Park Terrace Sw, ALBANY |
State: | OR |
Postal Code: | 97321 |
Phone Number: | 5417911732 |
Fax Number: | 5417911732 |
NPI Enumeration Date: | 04/11/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 10412 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |