Individual
DR. JOHN T MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2790 CLAY EDWARDS DR, SUITE 520, NORTH KANSAS CITY, MO 64116-3276
(816) 221-6750
(816) 221-7280
Mailing address
9411 N OAK TRFY, SUITE LL1, KANSAS CITY, MO 64155-2262
(816) 436-7072
(816) 436-2743
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
R4F76
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12565062
BCBS OF KC INDIVIDUAL #
—
01
—
P00117065
RAILROAD MEDICARE
—
Enumeration date
02/13/2006
Last updated
10/22/2007
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