Individual
DAVID C MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3738 LANDMARK DR STE A, LAFAYETTE, IN 47905
(765) 807-2780
(765) 807-2781
Mailing address
8805 N MERIDIAN ST STE 100, INDIANAPOLIS, IN 46260-2643
(317) 706-7246
(317) 818-0929
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
01035762A
IN
208VP0000X
Pain Medicine Physician
01035762
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000779298
ANTHEM BCBS
IN
05
—
100352730
—
IN
05
—
200149800A
—
IN
Enumeration date
11/15/2006
Last updated
11/07/2018
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