Donald R. Miller, MD
Urology in Shelton, WA. Organization (NPI-2).
NPI number1346353778
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1346353778
- Entity type
- Organization (NPI-2)
- Legal business name
- Donald R. Miller, MD
- Organization subpart
- No
- Enumeration date
- Aug 17, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | MD00026759 | WA | Yes |
Practice location
219 Professional WayShelton, WA 98584-4404
Phone 360-426-8398 · Fax 360-426-0413
Mailing address
700 Sleater Kinney Rd Se Ste BPmb 254
Lacey, WA 98503-1113
Phone 360-426-8398 · Fax 360-426-0413
Authorized official
Donald Miller
Owner
3604268398
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