Individual
DR. JASON TERRY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1850 BLUEGRASS AVE, ANESTHESIA DEPARTMENT, LOUISVILLE, KY 40215-1161
(502) 361-6617
(502) 361-6637
Mailing address
100 E LIBERTY ST STE 800, LOUISVILLE, KY 40202-1428
(502) 361-6617
(502) 361-6637
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
40862
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200894740
—
IN
05
—
7100014450
—
KY
Enumeration date
02/13/2007
Last updated
04/19/2018
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