Individual
MRS. STEPHANIE DANETTE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
817 S. MOUNT AUBURN, SUITE 100, SOUTHEAST PRIMARY CARE, CAPE GERARDEAU, MO 63703
(573) 519-4500
(573) 519-4530
Mailing address
817 S. MOUNT AUBURN, SUITE 100, CAPE GERARDEAU, MO 63703
(573) 519-4500
(573) 519-4530
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
LL30060
SC
Other
Enumeration date
08/20/2007
Last updated
06/24/2015
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