| Doctor Name: | DR. GORDON PAUL MILLER |
| NPI Number: | 1104926195 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 01028646A |
| Business Practice Address: | 4265 S A St Richmond, IN - 473746049 |
| Business Phone Number: | 7659628843 |
| Business Fax Number: | 7659654564 |
| Mailing Address: | 4265 S A St, RICHMOND |
| State: | IN |
| Postal Code: | 473746049 |
| Phone Number: | 7659628843 |
| Fax Number: | 7659654564 |
| NPI Enumeration Date: | 09/22/2006 |
| NPI Last Update Date: | 10/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 01028646A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |