Individual
RANDALL MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
351 MOOSA BLVD, EUNICE, LA 70535-3625
(337) 550-6963
(337) 550-8683
Mailing address
351 MOOSA BLVD, EUNICE, LA 70535-3625
(337) 550-6963
(337) 550-8683
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
023783
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1485080
—
LA
Enumeration date
06/06/2006
Last updated
04/20/2008
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