Individual
CALEB LEE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 HAIRPIN DR EDWARDSVILLE IL 62026, EDWARDSVILLE, IL 62026-0001
(618) 650-3705
Mailing address
2312 S PARK AVE, SPRINGFIELD, IL 62704-4355
(309) 370-7811
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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