Individual
DR. MARK D MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14825 N OUTER 40 STE 200, CHESTERFIELD, MO 63017-2152
(314) 336-2555
Mailing address
14825 N OUTER 40 STE 200, CHESTERFIELD, MO 63017-2152
(314) 336-2555
(314) 336-2557
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
116434
MO
Other
Enumeration date
01/18/2008
Last updated
01/20/2011
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