Miller, Randall D
Miller, Randall D is an individual health care provider with primary practice located at Building 3406 Alder Street Kamish Clinic, Fort Wainwright AK 99703-0000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Miller, Randall D can be contacted via phone (907) 353-4183.Contact Information
Primary practice address
Building 3406 Alder Street Kamish Clinic
Fort Wainwright AK 99703-0000
Phone: (907) 353-4183
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 79045 | Massachusetts |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5596 | Alaska |
Profile Details
| NPI number | 1972692457 |
|---|---|
| LBN Legal business name | Miller, Randall D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972692457 | NPPES |
| Alaska | MEDICAID | MD0384 |
Popular Providers
-
Johnson, Chelsea
4076 Neely Road , Ft. Wainwright AK 99703-4712 -
Richardson, Sean
655 5Th St , Fort Greely AK 99731 -
Chun, Yong H
1060 Gaffney Rd Ste 7440 Commander Usa Meddac Ak Mcuc Mmd Attn Credentials, Ft Wainwright AK 99703-5001 -
Bothwell, Daniel Craig
3406 Alder Ave , Fort Wainwright AK 99703 -
Neff, Michael Shawn
4076 Neely Rd Basset Army Community Hospital, Fort Wainwright AK 99703 -
Lyngholm, Thomas P
1060 Gaffney Rd # 7440 Usa Meddac-Ak, Mcuc-Mmd-Credentials, Ft Wainwright AK 99703 -
May, Douglas
655 E 5Th Street , Fort Greely AK 99731 -
Davis, Rebecca
4076 Neely Road , Fort Wainwright AK 99703