# STEPHEN MICHAEL MILLER DO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Miller Family Practice
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780609107
- **Authorized official:** STEPHEN MICHAEL MILLER D.O (OWNER)
- **Authorized official phone:** (304) 753-9100

## Contact information

- **Practice address:** 3921 SENECA TRAIL SOUTH, PETERSTOWN, WV 24963
- **Practice address phone:** (304) 753-9100
- **Practice address fax:** (304) 753-9353
- **Mailing address:** PO BOX 430, PETERSTOWN, WV 24963-0430
- **Mailing address phone:** (304) 753-9100
- **Mailing address fax:** (304) 753-9353

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 07/13/2006
- **Last updated:** 09/08/2009