Individual
DR. CHRISTOPHER M MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3555 S NATIONAL AVE, SPRINGFIELD, MO 65807-7310
(417) 875-3000
(417) 875-3176
Mailing address
3555 S NATIONAL AVE, SPRINGFIELD, MO 65807-7310
(417) 875-3000
(417) 875-3176
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
2000153025
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000153025
STATE LICENSE
MO
05
—
204971717
—
MO
Enumeration date
11/07/2005
Last updated
08/31/2012
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