Clinton Miller in Olympia - Physician Assistant
Clinton Miller - NPI 1417026097
Clinton Miller is a Physician Assistant in Olympia, Washington. Clinton Miller practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Clinton Miller is 1417026097. The last update date is 2018-04-05.
Clinton Miller's current location address is Po Box 368, Olympia, Washington. You can contact this provider via phone number 3604918439 and fax number 3604916328. The mailing address for Clinton Miller is Po Box 368, Olympia, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clinton Miller |
|---|---|
| Address | Po Box 368, Olympia, Washington |
| Phone Number | 3604918439 |
| Fax Number | 3604916328 |
| Sole Proprietor | N |
| Credentials | DDS, PA-C |
NPI Number Detail
| NPI Number | 1417026097 |
|---|---|
| Provider Enumeration Date | 2006-11-07 |
| Last Updated Date | 2018-04-05 |
Provider Mailing Address Detail
| Address | Po Box 368 |
|---|---|
| City | Olympia |
| State | Washington (WA) |
| Post Code | 985070368 |
| Phone Number | 3604918439 |
| Fax Number | 3604916328 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA05405 |
|
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1009815 | WA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Clinton Miller?
The Clinton Miller has been issued the NPI (National Provider Identifier) 1417026097 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Clinton Miller located?
The Clinton Miller is located at Po Box 368, Olympia, WA 985070368.
What is Clinton Miller's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Clinton Miller is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date did the Clinton Miller receive the assignment of its 1417026097 from the Centers for Medicare & Medicaid Services?
The Clinton Miller was issued its 1417026097 by the Centers for Medicare & Medicaid Services on 2006-11-07.
As of what date were the details related to Clinton Miller most recently updated or revised?
The information pertaining to Clinton Miller, including its address, specialty, and other relevant details, was last updated or revised on 2018-04-05.