Individual
TODD MILLER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 956-0336
Mailing address
11092 BAUMANN AVE UNIT 2, FORT CAMPBELL, KY 42223-6047
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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