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
| Taxonomy | Code | License |
|---|---|---|
| Neurology Physician Primary | 2084N0400X | G26214 (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.
Another provider at this address
Other neurology physician providers in Petaluma
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.