Individual
MARC L MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
115 BUSINESS LOOP 70 W, COLUMBIA, MO 65203-3244
(573) 882-8454
(573) 884-6054
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259
(573) 884-8526
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2001014935
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00415656
RAILROAD MEDICARE
MO
Enumeration date
05/18/2006
Last updated
03/20/2008
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