Individual
DESIREE Y MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
340 W LINCOLN ST, SUITE#300, BELLEVILLE, IL 62220-1900
(618) 235-4883
(618) 235-9563
Mailing address
340 W LINCOLN ST, SUITE#300, BELLEVILLE, IL 62220-1900
(618) 235-4883
(618) 235-9563
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
IL
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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