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Organization

ROBERT L MILLER MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT L MILLER JR. MD (PRESIDENT)
(870) 414-4026
Entity
Organization

Contact information

Practice address
620 N MAIN ST, HARRISON, AR 72601-2994
(870) 414-4026
Mailing address
PO BOX 1812, HARRISON, AR 72602-1812
(870) 414-4026

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MC-1562
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01976
HEALTHSOURCE
05
109945001
AR
05
132933002
AR
01
138900000
QUALCHOICE
01
220002698
PALMETTO GBA
01
53682
BLUECROSSBLUESHIELD
01
5F778
BLUECROSSBLUESHIELD
01
770063301
ARKANSAS BREASTCARE
Enumeration date
01/08/2007
Last updated
08/11/2010
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