Individual
JOSEPH M MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 W BROADWAY ST, MISSOULA, MT 59802-4008
(406) 543-7271
Mailing address
PO BOX 12, LIBERTY LAKE, WA 99019-0012
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MED-PHYS-LIC-86974
MT
390200000X
Student in an Organized Health Care Education/Training Program
PG182789
OR
Other
Enumeration date
05/12/2017
Last updated
07/08/2020
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