Individual
MARTHA DENISE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
555 S 18TH ST, COLUMBUS, OH 43205-2696
(614) 722-4950
(614) 722-4966
Mailing address
555 S 18TH ST, COLUMBUS, OH 43205-2696
(614) 722-4950
(614) 722-4966
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35045227
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
433678
—
OH
05
—
64255367
—
KY
Enumeration date
12/30/2005
Last updated
11/06/2008
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