Individual
DACE L MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3945 E TURTLE HATCH RD, SPRINGFIELD, MO 65809-3750
(417) 886-1884
Mailing address
3945 E TURTLE HATCH RD, SPRINGFIELD, MO 65809-3750
(417) 886-1884
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
R3J28
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10757
BLUE CROSS/BLUE SHIELD
—
05
—
202673513
—
MO
Enumeration date
06/14/2006
Last updated
12/02/2021
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