Individual
DR. JOHNATHAN CHANCE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7122 NASHVILLE AVE, SAINT LOUIS, MO 63117-2337
(314) 329-8109
(314) 350-0231
Mailing address
7122 NASHVILLE AVE, SAINT LOUIS, MO 63117-2337
(314) 329-8109
(314) 350-0231
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
2020035594
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101074
GA LICENSE
GA
01
—
101277587
VA LICENSE
VA
01
—
1013323
MA LICENSE
MA
01
—
12314722-1205
UT LICENSE
UT
01
—
2020035594
MO LICENSE
MO
01
—
2024-00059
NC LICENSE
NC
01
—
25MA11832200
NJ LICENSE
NJ
01
—
31324
MS LICENSE
MS
01
—
319711
NY LICENSE
NY
01
—
31996
WV LICENSE
WV
01
—
334502
LA LICENSE
LA
01
—
35.141126
OH LICENSE
OH
01
—
36156953
IL LICENSE
IL
01
—
37701
OK LICENSE
OK
01
—
4301508656
MI LICENSE
MI
01
—
70912
AZ LICENSE
AZ
01
—
75961
MN LICENSE
MN
01
—
D91957
MD LICENSE
MD
01
—
E-15164
AR LICENSE
AR
01
—
MD-50615
IA LICENSE
IA
01
—
MD.45970
AL LICENSE
AL
01
—
MD474783
PA LICENSE
PA
01
—
ME165293
FL LICENSE
FL
01
—
MED-PHYS-LIC-116474
MT LICENSE
MT
01
—
U7016
TX LICENSE
TX
Enumeration date
06/21/2018
Last updated
08/01/2024
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