| Miller Family Medicine And Minor Trauma | |
|
10042 Wolf Rd Ste A Grass Valley CA 95949-8192 | |
| (530) 268-8778 | |
| (530) 268-8765 |
| Full Name | Miller Family Medicine And Minor Trauma |
|---|---|
| Speciality | Internal Medicine |
| Location | 10042 Wolf Rd Ste A, Grass Valley, California |
| Authorized Official Name and Position | Walter Scott Miller (OWNER) |
| Authorized Official Contact | 5302688778 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Miller Family Medicine And Minor Trauma 10042 Wolf Rd Ste A Grass Valley CA 95949-8192 Ph: (530) 268-8778 | Miller Family Medicine And Minor Trauma 10042 Wolf Rd Ste A Grass Valley CA 95949-8192 Ph: (530) 268-8778 |
| NPI Number | 1790954782 |
|---|---|
| Provider Enumeration Date | 02/25/2008 |
| Last Update Date | 02/25/2008 |
| Medicare PECOS PAC ID | 0042249872 |
|---|---|
| Medicare Enrollment ID | O20050811000439 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790954782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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