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Individual

DR. LESLIE SCOTT MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3517 ROBBINS NEST RD, THOMPSONS STATION, TN 37179-5387
(952) 595-1100
(952) 942-3361
Mailing address
11995 SINGLETREE LN, SUITE 500, EDEN PRAIRIE, MN 55344-5347
(952) 595-1100
(952) 942-3361

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
26561
KY
2085R0202X
Diagnostic Radiology Physician
Primary
43616
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64265614
KY
01
P00905457
RAILROAD MEDICARE
TN
Enumeration date
08/01/2006
Last updated
06/06/2011
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