Individual
JON M MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
140 STOLLINGS AVE STE 3, LOGAN, WV 25601-4035
(304) 752-4594
(304) 752-5629
Mailing address
140 STOLLINGS AVE STE 3, LOGAN, WV 25601-4035
(304) 752-4594
(304) 752-5629
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
1298
WV
Other
Enumeration date
05/23/2006
Last updated
01/31/2013
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