Individual provider · Type 1 NPI

Jack Edwin Miller, MD

Neurology Physician · Petaluma, CA

NPI number 1497824627 Active

Practice location

765 Baywood Dr, #231
Petaluma, CA 94954

Fax (707) 766-8160

Specialties and licenses

TaxonomyCodeLicense
Neurology Physician Primary 2084N0400XG26214 (CA)

Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

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About NPI 1497824627

Jack Edwin Miller, MD's National Provider Identifier is 1497824627, issued on Nov 6, 2006. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Petaluma, CA. The record was last updated on Jul 8, 2007.