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 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972692457 | NPPES |
| Alaska | MEDICAID | MD0384 |
Popular Providers
-
Davis, Rebecca
4076 Neely Road , Fort Wainwright AK 99703 -
Schwoch, Morgan
3406 Alder Ave , Ft Wainwright AK 99703 -
Neff, Michael Shawn
4076 Neely Rd Basset Army Community Hospital, Fort Wainwright AK 99703 -
Johnson, Chelsea
4076 Neely Road , Ft. Wainwright AK 99703-4712 -
Beauchamp, Jeremy Todd
1060 Gaffney Rd Stop 7440 Bassett Army Community Hospital (Attn Mcuc-Mmd-Qm), Ft Wainwright AK 99703-5007 -
Koehler, Danita Nevitt
1060 Gaffney Rd , Ft Wainwright AK 99703-5001 -
Lyngholm, Thomas P
1060 Gaffney Rd # 7440 Usa Meddac-Ak, Mcuc-Mmd-Credentials, Ft Wainwright AK 99703 -
Kuhn, Kenneth D.
1060 Gaffney Rd Ste 7440 Commander Usa Meddac Ak Mcuc Mmd, Ft Wainwright AK 99703-7440