Individual provider · Type 1 NPI

Jessica Miller

Surgical Physician Assistant · Dodge City, KS

NPI number 1609442755 Active

Practice location

112 W Ross Blvd Ste C
Dodge City, KS 67801-7220

Mailing address

204 Plaza Ave
Dodge City, KS 67801-2724

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Surgical Physician Assistant Primary 363AS0400X15-02527 (KS)

Surgical Physician Assistant: Definition to come...

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About NPI 1609442755

Jessica Miller's National Provider Identifier is 1609442755, issued on May 30, 2021. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Dodge City, KS. The record was last updated on Aug 25, 2022.