Individual
JASON ALLEN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
331 SIJEN AVE, WHITEMAN AIR FORCE BASE, MO 65305-1269
(660) 687-2156
Mailing address
331 SIJAN AVE, WAFB, MO 65305
(660) 687-2156
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
05/20/2009
Last updated
05/26/2009
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