Healthcare Provider Details

I. General information

NPI: 1417977133
Provider Name (Legal Business Name): MARGARET MILLER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 01/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 SPRUCE ST
SAN FRANCISCO CA
94118-2681
US

IV. Provider business mailing address

525 SPRUCE ST
SAN FRANCISCO CA
94118-2681
US

V. Phone/Fax

Practice location:
  • Phone: 415-668-8900
  • Fax: 415-668-1695
Mailing address:
  • Phone: 415-668-8900
  • Fax: 415-668-1695

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberG67640
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: