MEDICARE: JOSEPH E MILLER MD PA

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
1	261QP3300X	Pain Clinic/Center

General Provider Information

NPI Number	:	1538681085
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOSEPH E MILLER MD PA

Provider Business Mailing Address
First Line	:	PO BOX 180728
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72918-0728
Country	:	US
Telephone Number	:	479-385-9001
Fax Number	:	479-763-1156

Provider Business Practice Location Address
First Line	:	9001 JENNY LIND RD STE 3
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72908-8629
Country	:	US
Telephone Number	:	479-385-9001
Fax Number	:	479-668-3699

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JOSEPH MILLER
Credential	:	MD
Telephone Number	:	870-329-5000

Provider Enumeration Date	:	07/15/2017
Last Update Date	:	07/20/2021

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