Doctor Name: | WILLIAM RICHARD MILLER |
NPI Number: | 1104011956 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 35025182 |
Business Practice Address: | 1788 Us 52 Moscow, OH - 45153 |
Business Phone Number: | 5135533763 |
Business Fax Number: | 5135531976 |
Mailing Address: | Po Box 232, 1788 Us 52 MOSCOW |
State: | OH |
Postal Code: | 45153 |
Phone Number: | 5135533763 |
Fax Number: | 5135531976 |
NPI Enumeration Date: | 09/13/2007 |
NPI Last Update Date: | 09/13/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 35025182 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |