Individual
PEGGY K MCMILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
126 MISSOURI AVE, FT. LEONARD WOOD, MO 65473
(573) 596-1677
(573) 596-5389
Mailing address
126 MISSOURI AVE, FT. LEONARD WOOD, MO 65473
(573) 596-1677
(573) 596-5389
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
2005011794
MO
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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