Individual
DR. JILL MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
116 S MAIN ST, SHERIDAN, WY 82801-4224
(307) 675-2020
Mailing address
116 S MAIN ST, SHERIDAN, WY 82801-4224
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
207T
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116983100
—
WY
Enumeration date
07/21/2006
Last updated
09/09/2011
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