Individual
RUSTY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2345 DOUGHERTY FERRY RD, SAINT LOUIS, MO 63122-3313
(314) 614-7038
Mailing address
4342 JARVIS RD, HILLSBORO, MO 63050-2710
(314) 614-7038
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
155019
MO
Other
Enumeration date
02/19/2018
Last updated
02/19/2018
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