Organization
BLUERAD PLLC
Active
Organization
BLUERAD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS EDWARD MILLER M.D. (OWNER)
(304) 327-1541
Entity
Organization
Contact information
Practice address
500 CHERRY ST, BLUEFIELD, WV 24701-3306
(304) 327-1100
Mailing address
PO BOX 489, BLUEFIELD, WV 24701-0489
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
19237
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002049520
HIGHMARK BCBS
WV
05
—
3810012266
—
WV
Enumeration date
11/19/2007
Last updated
09/28/2018
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