Basic Information
| Provider Information | |||||||||
| NPI: | 1710070214 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MILLER | ||||||||
| FirstName: | RONALD | ||||||||
| MiddleName: | DEAN | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 12 GREAT CIRCLE DR | ||||||||
| Address2: | |||||||||
| City: | MILL VALLEY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 949413207 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4154769034 | ||||||||
| FaxNumber: | 4155149516 | ||||||||
| Practice Location | |||||||||
| Address1: | 521 PARNASSUS AVE | ||||||||
| Address2: | C455 | ||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941432206 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4154769034 | ||||||||
| FaxNumber: | 4155141532 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/02/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | C27621 | CA | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.