Individual
WILLIAM D MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
305 KEENE ST, STE. 203, COLUMBIA, MO 65201-6897
(573) 882-8000
(573) 882-6600
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R2A82
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193109
HEALTHLINK
MO
01
—
208688
BLUE CHOICE
MO
Enumeration date
06/30/2006
Last updated
03/24/2008
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