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Individual

DR. CRAIG L. MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1449 E BERT KOUNS LOOP, SUITE 100, SHREVEPORT, LA 71105-5663
(318) 629-0220
(318) 629-0230
Mailing address
8713 E WILDERNESS WAY, SHREVEPORT, LA 71106-6136
(318) 621-2929
(318) 621-2930

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
021989
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1975281
LA
Enumeration date
03/02/2006
Last updated
12/20/2011
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