Organization
MILLER UROGYNECOLOGY, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY-JAMES MILLER (MEDICAL DIRECTOR)
(309) 665-0900
Entity
Organization
Contact information
Practice address
107 N REGENCY DR, SUITE 2, BLOOMINGTON, IL 61701-3515
(309) 665-0900
Mailing address
107 N REGENCY DR, SUITE 2, BLOOMINGTON, IL 61701-3515
(309) 665-0900
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
042619085
IL
Other
Enumeration date
08/13/2007
Last updated
08/13/2007
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