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Individual

DR. RONALD A MILLER

Active
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Individual

DR. RONALD A MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3618
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000007830
BLUE CROSS/SHIELD PIN
MT
01
—
000008287
MEDICARE PART B GRP ID#
MT
05
—
0015301
—
MT
01
—
080026843
RAILRAID MEDICARE PIN#
MT
01
—
1104882232
GLACIER MEDICAL ASSOC NPI
MT
01
—
27D0411341
CLIA ID#--LAB CERT
MT
01
—
3618
MONTANA STATE LICENSE
MT
01
—
810350909
FEIN
MT
01
—
CI2709
RAILRAOD MEDICARE GRP#
MT
Enumeration date
05/05/2006
Last updated
08/11/2009
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