Organization
LAURENCE I. MILLER, D.O., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURENCE IRWIN MILLER D.O. (PRESIDENT)
(660) 665-1223
Entity
Organization
Contact information
Practice address
506 ROSEWOOD DR, KIRKSVILLE, MO 63501-2437
(660) 665-1223
(660) 665-2566
Mailing address
506 ROSEWOOD DR, KIRKSVILLE, MO 63501-2437
(660) 665-1223
(660) 665-2566
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
33564
MO
Other
Enumeration date
11/03/2006
Last updated
08/22/2020
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