Organization
STEPHEN B. MILLER
Active
Other names
Cosmetic & Reconstructive Plastic Surgery, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN B MILLER M.D. (OWNER)
(304) 399-2222
Entity
Organization
Contact information
Practice address
5187 US ROUTE 60 E, SUITE # 9, HUNTINGTON, WV 25705-2076
(304) 399-2222
(304) 399-2223
Mailing address
5187 US ROUTE 60 E, SUITE # 9, HUNTINGTON, WV 25705-2076
(304) 399-2222
(304) 399-2223
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001722820
BCBS
WV
01
—
06-6033492
AETNA
WV
05
—
1000263000
—
WV
01
—
1057260
BRICKSTREET W/C
WV
01
—
240007609
RAILROAD MEDICARE
—
01
—
279747261-00
OHIO WORKERS COMPENSTATIO
OH
01
—
3810015078
WV MEDICAID GROUP ID
WV
Enumeration date
10/25/2006
Last updated
05/10/2013
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