Individual
JASON MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 MEDICAL CENTER DR, SPRINGFIELD, OH 45504-2687
(937) 523-1000
Mailing address
3402 STAUNTON AVE SE, CHARLESTON, WV 25304-1327
(304) 881-1856
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
92008
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
92008
OH
Other
Enumeration date
03/14/2022
Last updated
08/17/2023
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