Individual
DR. TIMOTHY J. MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3400 DEXTER CT, DAVENPORT, IA 52807-3461
(319) 321-8151
(319) 321-8151
Mailing address
PO BOX 5713, CORALVILLE, IA 52241-0713
(319) 321-8151
(319) 321-8151
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036079595
IL
207L00000X
Anesthesiology Physician
26118
IA
208VP0000X
Pain Medicine Physician
036079595
IL
208VP0000X
Pain Medicine Physician
Primary
26118
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4024711
—
IA
Enumeration date
07/07/2005
Last updated
01/22/2014
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