Individual
ERICA MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1102 W 32ND ST, JOPLIN, MO 64804-3503
(417) 347-1111
Mailing address
1102 W 32ND ST, JOPLIN, MO 64804-3503
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2016020039
MO
207P00000X
Emergency Medicine Physician
Primary
2018044701
MO
Other
Enumeration date
07/05/2016
Last updated
01/24/2020
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