Healthcare Provider Details

I. General information

NPI: 1881638062
Provider Name (Legal Business Name): CATHERINE MARIE MILLS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2006
Last Update Date: 01/22/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2125 OAK GROVE ROAD SUITE 200
WALNUT CREEK CA
94598
US

IV. Provider business mailing address

2125 OAK GROVE ROAD SUITE 200
WALNUT CREEK CA
94598
US

V. Phone/Fax

Practice location:
  • Phone: 925-296-7150
  • Fax: 925-296-7171
Mailing address:
  • Phone: 925-296-7150
  • Fax: 925-296-7171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberG46117
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: