Miller, Bruce Dean

Miller, Bruce Dean is an individual health care provider with primary practice located at 1004 Fowler Way Suite 6, Placerville CA 95667-5746. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Miller, Bruce Dean can be contacted via phone (530) 626-1602.

Contact Information

Primary practice address
1004 Fowler Way Suite 6 Placerville CA 95667-5746
Phone: (530) 626-1602
Fax: (530) 626-8636
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X G29102 California
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X G29102 California
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X G29102 California

Profile Details

NPI number 1134224751
LBN Legal business name Miller, Bruce Dean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Oct 14th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134224751 NPPES
California MEDICAID 00G2910204

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