Individual
DR. DEREK WADE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3105 MCCLELLAND BLVD., JOPLIN, MO 64804-1640
(417) 781-2807
(417) 781-3309
Mailing address
3105 MCCLELLAND BLVD., JOPLIN, MO 64804-1640
(417) 781-2807
(417) 781-3309
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2006002060
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
506033406
—
MO
Enumeration date
07/05/2006
Last updated
03/09/2011
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