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Individual

DR. JOSEPH P MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
789 S MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63703-6387
(573) 519-4700
(573) 334-8023
Mailing address
325 S KINGSHIGHWAY ST, SUITE G, CAPE GIRARDEAU, MO 63703-5709
(573) 335-5006
(573) 334-8023

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R3L60
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
202891008
MO
Enumeration date
02/07/2006
Last updated
08/20/2012
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