Healthcare Provider Details

I. General information

NPI: 1093768160
Provider Name (Legal Business Name): MARGARET LEFTWICH MILLER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 NAPA VALLEJO HIGHWAY
NAPA CA
94558-6293
US

IV. Provider business mailing address

1600 9TH ST ROOM 205 MAILSTOP 2-3
SACRAMENTO CA
95814-6414
US

V. Phone/Fax

Practice location:
  • Phone: 707-253-5000
  • Fax: 707-253-5513
Mailing address:
  • Phone: 916-654-2431
  • Fax: 916-654-3186

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084F0202X
TaxonomyForensic Psychiatry Physician
License NumberA49932
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: