Individual
MYRON MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 955-9270
Mailing address
PO BOX 64264, BALTIMORE, MD 21264-4264
(410) 933-4397
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
D51107
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
095300800
—
MD
Enumeration date
05/11/2006
Last updated
11/13/2009
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