Individual
JAY R MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 N STATE ST, GREENFIELD, IN 46140-1270
(317) 462-7163
Mailing address
PO BOX 68952, INDIANAPOLIS, IN 46268-0952
(317) 802-6296
(317) 870-0499
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01035230
IN
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
01035230
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100127720A
—
IN
Enumeration date
11/21/2005
Last updated
12/30/2010
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