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Organization
STEPHEN MICHAEL MILLER DO
Active
Organization
STEPHEN MICHAEL MILLER DO
Active
Other names
Miller Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN MICHAEL MILLER D.O (OWNER)
(304) 753-9100
Entity
Organization
Contact information
Practice address
3921 SENECA TRAIL SOUTH, PETERSTOWN, WV 24963
(304) 753-9100
(304) 753-9353
Mailing address
PO BOX 430, PETERSTOWN, WV 24963-0430
(304) 753-9100
(304) 753-9353
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
NULL
Other
Enumeration date
07/13/2006
Last updated
09/08/2009
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