RICHARD DALE MILLER PAC NPI 1902895154

NPI Information

NPI: 1902895154
Provider Name: RICHARD DALE MILLER, PAC
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
3260 PROVIDENCE DR
SUITE 200
ANCHORAGE, AK
ZIP 99508
Phone: (907) 563-3145
Get Directions

Richard Dale Miller, PAC is a surgical physician assistant in Anchorage, AK. Richard Dale Miller, PAC NPI is 1902895154. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3260 PROVIDENCE DR
SUITE 200
ANCHORAGE, AK
ZIP 99508-661
Phone: (907) 563-3145
Fax: (907) 561-3967

The enumeration date for this NPI number is 10/20/2005 and was last updated on 10/27/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	768	ALASKA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	K161181	MEDICARE PIN	ALASKA
2	Q22888	MEDICARE UPIN	ALASKA
3	MM1604936	OTHER	ALASKA	DEA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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