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NPI Code Detail

MEDICARE: WALTER W. MILLS MD

MEDICARE: WALTER W. MILLS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianG45945CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871677948
Entity Type Code : Individual
Provider Name (Legal Business Name) : WALTER W. MILLS MD
Provider Business Mailing Address
First Line : PO BOX 542
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95061-0542
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1510 CAPITOLA RD
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95062-2912
Country : US
Telephone Number : 831-427-3500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2006
Last Update Date : 10/26/2023

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