Individual
BRUCE PAUL MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
248 NORTH MAIN STREET, UTICA, OH 43080-0507
(740) 892-2171
(740) 892-4961
Mailing address
PO BOX 507, UTICA, OH 43080-0507
(740) 892-2171
(740) 892-4961
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
21683
KY
207R00000X
Internal Medicine Physician
Primary
35047518
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000115582
ANTHEM BCBS
—
01
—
0400520
UNITED HEALTHCARE
—
05
—
0511486
—
OH
01
—
311047177001
MEDICAL MUTUAL
OH
Enumeration date
12/06/2006
Last updated
07/10/2007
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