Individual provider · NPI-1
Dr. Elliott James Miller, MD
Emergency Medicine · Fremont, NE
NPI number1124548334
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1124548334
- Entity type
- Individual (NPI-1)
- Name
- Dr. Elliott James Miller
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 20, 2017
- Certification date
- Jun 28, 2020
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 32417 | NE | Yes |
Practice location
450 E 23rd StFremont, NE 68025-2303
Phone 402-559-6802
Mailing address
450 E 23rd StFremont, NE 68025-2303
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