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Ms. Ebony Miller, PA-C
Surgical Physician Assistant in Riverside, California
NPI 1093371759

Ebony Miller is a Surgical Physician Assistant based in Redlands, CA and is specialized in Surgical. Ebony Miller practices in Riverside, CA and has the professional credentials of PA-C. The NPI Number for Ebony Miller is 1093371759 and holds a License No. 56608 (California).

The current practice location address for Ebony Miller is 9041 Magnolia Ave Ste 206, Riverside, CA and can be reached out via phone at 951-354-2220. You can also correspond with Ebony Miller through the mailing address at 101 E REDLANDS BLVD STE 284, REDLANDS, CA - 92373-4721 (mailing address contact number: 909-312-7380).

Location: 9041 Magnolia Ave Ste 206, Riverside, CA, 92373-4721
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093371759
Provider Name
Ebony Miller
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
9041 Magnolia Ave Ste 206, Riverside, CA, 92373-4721
Phone Number
951-354-2220
Fax Number
Provider Enumeration Date
05/17/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
56608 01 CA CALIFORNIA LICENSE
10002711A 01 IN INDIANA LICENSE NUMBER
PA15641 01 TX TEXAS LICENSE
institution
Provider Business Practice Location Address Details
Address
9041 Magnolia Ave Ste 206
City
Riverside
State
California
Zip
92503-3956
Phone Number
951-354-2220
Fax Number
person
Provider Business Mailing Address Details
Address
101 E Redlands Blvd Ste 284
City
Redlands
State
California
Zip
92373-4721
Phone Number
909-312-7380
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
10002711A (Indiana)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
10002711A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
56608 (California)
Definition
Definition to come...
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