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NPI Code Detail

MEDICARE: DR. JOHN CURTIS MCMILLEN MSW, PH.D.

MEDICARE:  DR. JOHN CURTIS MCMILLEN  MSW, PH.D.
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
11041C0700XClinical Social Worker004919MO

General Provider Information

NPI Number : 1548411929
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN CURTIS MCMILLEN MSW, PH.D.
Provider Business Mailing Address
First Line : 6906 PERSHING AVE
Second Line :
City : UNIVERSITY CITY
State : MO
Zip : 63130-4330
Country : US
Telephone Number : 314-495-9919
Fax Number :
Provider Business Practice Location Address
First Line : 6906 PERSHING AVE
Second Line :
City : UNIVERSITY CITY
State : MO
Zip : 63130-4330
Country : US
Telephone Number : 314-495-9919
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2008
Last Update Date : 10/03/2008

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Directions to “ DR. JOHN CURTIS MCMILLEN MSW, PH.D.” Practice Location

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