Individual
MR. GROVER RONALD MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
501 MORRIS ST, CHARLESTON, WV 25301-1326
(304) 647-6006
(304) 388-3604
Mailing address
PO BOX 3466, CHARLESTON, WV 25334-3466
(904) 490-8845
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
57560
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
70063
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2603341000
—
WV
Enumeration date
11/02/2006
Last updated
07/24/2023
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