Individual
DR. JOHN PITTS MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD014770
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00113314
—
MS
05
—
1328782
—
LA
01
—
300054355
RR MEDICARE
—
Enumeration date
11/04/2005
Last updated
05/10/2017
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