Jack Edwin Miller, MD
Jack Edwin Miller, MD is a Neurology Physician in Petaluma, California. Licensed in California. Registered with an NPI since 2006.
- Licensed in
- CA
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
765 Baywood Dr #231Petaluma, CA 94954
Phone: (707) 762-2166
Fax: (707) 766-8160
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Neurology Physician (primary) | Taxonomy 2084N0400X · Licence G26214 (CA) |
|---|
Record details
| NPI number | 1497824627 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | November 6, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 765 Baywood Dr, 231, Petaluma, CA 94954 |
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