Organization
RYAN T. MILLER,M.D.,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN T MILLER M.D. (OWNER/PHYSICIAN)
(636) 931-5080
Entity
Organization
Contact information
Practice address
1390 HIGHWAY 61, MEDICAL OFFICE CENTER NORTH STE 3200, FESTUS, MO 63028-4137
(636) 931-5080
(636) 933-5090
Mailing address
1390 HIGHWAY 61, MEDICAL OFFICE CENTER NORTH STE 3200, FESTUS, MO 63028-4137
(636) 931-5080
(636) 933-5090
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
MO
Other
Enumeration date
02/11/2009
Last updated
02/11/2009
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