| Doctor Name: | MR. ROBERT EDWARD MILLER |
| NPI Number: | 1861550808 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RN |
| License Number: | 560859 |
| Business Practice Address: | 3230 Peacekeeper Way Bldg 209 Mcclellan, CA - 956522600 |
| Business Phone Number: | 9168301526 |
| Business Fax Number: | 9169291861 |
| Mailing Address: | 6720 Linda Sue Way, FAIR OAKS |
| State: | CA |
| Postal Code: | 956283024 |
| Phone Number: | 9168474570 |
| Fax Number: | 9169658956 |
| NPI Enumeration Date: | 12/04/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC0200X |
| License Number: | 560859 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | CA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Critical Care Medicine |
| Taxonomy Definition: | |