Dr. Jacob W. Miller, D.O.
Family Medicine in Norfolk, VA. Individual provider (NPI-1).
NPI number1104881002
StatusActive
Last updated in NPPESApr 2, 2019
Details
- NPI
- 1104881002
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jacob W. Miller
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 20, 2006
- Last updated
- Apr 2, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 0102036908 | VA | Yes |
Practice location
155 Kingsley LnSuite 400
Norfolk, VA 23505-4629
Phone 757-278-2240 · Fax 757-489-6469
Mailing address
155 Kingsley LnSuite 400
Norfolk, VA 23505-4629
Phone 757-278-2240 · Fax 757-489-6469
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