Individual
LAURA MAY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
20 MEDICAL PARK, SUITE 301, WHEELING, WV 26003-6391
(304) 243-7074
(304) 243-6430
Mailing address
20 MEDICAL PARK, SUITE 301, WHEELING, WV 26003-6391
(304) 243-7074
(304) 243-6430
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1845
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001718177
MOUNTAIN STATE BCBS
—
01
—
1845
HEALTH PLAN OF UPPER OH V
—
01
—
1845A
HEALTH PLAN OF UPPER OH V
—
05
—
2315622
—
OH
05
—
3003077000
—
WV
01
—
55035705700
WV COMPENSATION
WV
Enumeration date
08/10/2005
Last updated
06/09/2020
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