Individual
DR. DONALD D MILLER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
660 S EUCLID AVE, SAINT LOUIS, MO 63110-1010
(314) 747-4873
(314) 747-4876
Mailing address
PO BOX 8221, 7425 FORSYTH, SAINT LOUIS, MO 63156-8221
(314) 935-0770
(314) 935-0575
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
115280
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06032182
BLUE CROSS BLUE SHIELD
IL
01
—
143644
MO-BLUE SHIELD
—
05
—
1659399137
—
MO
Enumeration date
07/17/2006
Last updated
01/19/2012
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