| Doctor Name: | JON M MILLER |
| NPI Number: | 1841245339 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | 1298 |
| Business Practice Address: | 140 Stollings Ave Ste 3 Logan, WV - 256014035 |
| Business Phone Number: | 3047524594 |
| Business Fax Number: | 3047525629 |
| Mailing Address: | 140 Stollings Ave Ste 3, LOGAN |
| State: | WV |
| Postal Code: | 256014035 |
| Phone Number: | 3047524594 |
| Fax Number: | 3047525629 |
| NPI Enumeration Date: | 05/23/2006 |
| NPI Last Update Date: | 01/31/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 1298 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |