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Individual

MATTHEW S MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
227 FALCON DR STE 104, MT STERLING, KY 40353-9792
(859) 497-5459
(859) 497-5470
Mailing address
PO BOX 936, LONDON, KY 40743-0936

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
32277
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64322779
KY
Enumeration date
04/25/2006
Last updated
08/21/2019
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