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NPI Code Detail

MEDICARE: MARK F MILLER DPM

MEDICARE: MARK F MILLER DPM
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
1213E00000XPodiatristE-3301CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1E3301OTHERCALIC

General Provider Information

NPI Number : 1629063946
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK F MILLER DPM
Provider Business Mailing Address
First Line : 2050 S BLOSSER RD
Second Line :
City : SANTA MARIA
State : CA
Zip : 93458-7310
Country : US
Telephone Number : 805-361-8028
Fax Number : 805-361-8097
Provider Business Practice Location Address
First Line : 2801 SANTA MARIA WAY
Second Line :
City : SANTA MARIA
State : CA
Zip : 93455-2118
Country : US
Telephone Number : 805-934-5400
Fax Number : 805-938-9207
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2005
Last Update Date : 03/07/2023

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