Individual
SCOTT DOUGLAS MCCOSKEY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
202 10TH ST SE STE 165, CEDAR RAPIDS, IA 52403-2433
(319) 297-2900
Mailing address
202 10TH ST SE STE 165, CEDAR RAPIDS, IA 52403-2433
(319) 297-2900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20872
IA
207R00000X
Internal Medicine Physician
Primary
20872
IA
207R00000X
Internal Medicine Physician
R7186
IA
207RH0003X
Hematology & Oncology Physician
20872
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0499616
—
IA
01
—
26271
BCBS OF IA
IA
01
—
P00732371
RR MEDICARE
IA
Enumeration date
06/14/2006
Last updated
11/05/2024
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