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NPI Code Detail

MEDICARE: DAPHNE MILLER MD

MEDICARE: DAPHNE MILLER 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 PhysicianG79443CA

General Provider Information

NPI Number : 1063801314
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAPHNE MILLER MD
Provider Business Mailing Address
First Line : 1286 SANCHEZ ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94114-3833
Country : US
Telephone Number : 415-642-0333
Fax Number : 415-642-6233
Provider Business Practice Location Address
First Line : 1286 SANCHEZ ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94114-3833
Country : US
Telephone Number : 415-642-0333
Fax Number : 415-642-6233
Authorized Official
Title or Position : OWNER
Name : DR. DAPHNE MILLER
Credential : M.D.
Telephone Number : 415-642-0333
Provider Enumeration Date : 01/09/2015
Last Update Date : 01/09/2015

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