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NPI Code Detail

MEDICARE: ELIZABETH MILLER

MEDICARE: ELIZABETH MILLER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1246ZE0600XElectroneurodiagnostic Specialist/Technologist

General Provider Information

NPI Number : 1205531209
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH MILLER
Provider Business Mailing Address
First Line : 7417 WISE AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63117-1621
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 24 S WEBER ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80903-1929
Country : US
Telephone Number : 866-266-8576
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2023
Last Update Date : 03/31/2023

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Directions to “ ELIZABETH MILLER ” Practice Location

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