Doctor Name: | SETH B MILLER |
NPI Number: | 1891991717 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 76499 |
Business Practice Address: | 1030 W 24th St Suite H Yuma, AZ - 853648345 |
Business Phone Number: | 9283444325 |
Business Fax Number: | 9283443084 |
Mailing Address: | 4594 W Irma St, YUMA |
State: | AZ |
Postal Code: | 853649667 |
Phone Number: | 5203608927 |
Fax Number: | |
NPI Enumeration Date: | 06/26/2007 |
NPI Last Update Date: | 03/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 76499 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AZ |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |