# DAVID C MILLER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1770656332
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 01035762A | IN | Yes |
| 208VP0000X | Pain Medicine Physician | 01035762 | IN | — |

## Other

- **Enumeration date:** 11/15/2006
- **Last updated:** 11/07/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000779298 | ANTHEM BCBS | IN |
| 05 | — | 100352730 | — | IN |
| 05 | — | 200149800A | — | IN |