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NPI Code Detail

MEDICARE: DR. MELISSA BUTCHER MILLAR M.D.

MEDICARE: DR. MELISSA BUTCHER MILLAR M.D.
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
1207L00000XAnesthesiology PhysicianA156826CA

General Provider Information

NPI Number : 1417361981
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MELISSA BUTCHER MILLAR M.D.
Provider Business Mailing Address
First Line : FILE 57326
Second Line :
City : LOS ANGELES
State : CA
Zip : 90074-7326
Country : US
Telephone Number : 800-926-8273
Fax Number :
Provider Business Practice Location Address
First Line : 200 W ARBOR DR
Second Line :
City : SAN DIEGO
State : CA
Zip : 92103-9000
Country : US
Telephone Number : 800-926-8273
Fax Number : 888-539-8781
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2014
Last Update Date : 03/02/2026

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