Individual
JEFFREY R MILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 E APPLE ST, STE 6250, DAYTON, OH 45409-2939
(937) 208-8394
(937) 208-8388
Mailing address
30 E APPLE ST, STE 6250, DAYTON, OH 45409-2939
(937) 208-8394
(937) 208-8388
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35.050025
OH
208M00000X
Hospitalist Physician
Primary
35050025
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0546583
—
OH
05
—
0681310
—
OH
Enumeration date
06/05/2006
Last updated
08/08/2014
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