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Individual

DR. EDWARD C MILLER

Active
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Individual

DR. EDWARD C MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101032556
VA
207RC0000X
Cardiovascular Disease Physician
0101032556
VA
207RI0011X
Interventional Cardiology Physician
Primary
0101032556
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
-001
CHAMPUS/TRICARE
VA
05
006013236
VA
05
006053335
VA
01
0582M
BC/BS NC
NC
01
110130157
RAILROAD MEDICARE
VA
01
15070
OPTIMA/SENTARA
VA
01
15792
SENTARA OHP/SHP
VA
01
250365
ATHEM BC/BS VA/HK
VA
01
259542
ANTHEM BCBS
VA
01
263654
UHC/MAMSI/MDIPA
VA
05
890582M
NC
01
PAR
AETNA
Enumeration date
02/23/2006
Last updated
05/19/2020
Update your record

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