Thomas L. Miller, Physician Assistant
Physician Assistant in Las Vegas, NV. Individual provider (NPI-1).
NPI number1720162910
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1720162910
- Entity type
- Individual (NPI-1)
- Name
- Thomas L. Miller
- Credential
- Physician Assistant
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 24, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 430 | NV | Yes |
Practice location
2647 Box Canyon DrLas Vegas, NV 89128-0450
Phone 702-363-5575 · Fax 702-646-1727
Mailing address
2647 Box Canyon DrLas Vegas, NV 89128-0450
Phone 702-363-5575 · Fax 702-646-1727
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