Individual
HOMER ANDREW MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
7300 N PERIMETER RD, MALMSTROM AFB, MT 59402-6701
(406) 731-4389
Mailing address
4656 W MILES RD, JANESVILLE, WI 53545-9079
(406) 731-4389
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
L5ALJ4N051C00AB
TX
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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