Miller, Mary K.

Miller, Mary K. is an individual health care provider with primary practice located at 1695 N Sunrise Way , Palm Springs CA 92262-3701. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine. Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine is her primary health care specialty. Miller, Mary K. can be contacted via phone (760) 323-2118.

Contact Information

Primary practice address
1695 N Sunrise Way Palm Springs CA 92262-3701
Phone: (760) 323-2118
Fax: (760) 416-1651
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G52799 California
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X G52799 California

Profile Details

NPI number 1740264852
LBN Legal business name Miller, Mary K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Feb 24th, 2020 - about 5 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 1740264852 NPPES
California MEDICAID 00G527990

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