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NPI Code Detail

MEDICARE: DR. JOHN BERNARD MILLER MD

MEDICARE:  DR. JOHN BERNARD MILLER  MD
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
1207Q00000XFamily Medicine Physician12746MT

General Provider Information

NPI Number : 1588663827
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN BERNARD MILLER MD
Provider Business Mailing Address
First Line : PO BOX 7609
Second Line :
City : MISSOULA
State : MT
Zip : 59807-7609
Country : US
Telephone Number : 406-721-5600
Fax Number :
Provider Business Practice Location Address
First Line : 500 W BROADWAY ST
Second Line :
City : MISSOULA
State : MT
Zip : 59802-4008
Country : US
Telephone Number : 406-721-5600
Fax Number : 406-329-7524
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2005
Last Update Date : 07/29/2021

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Directions to “ DR. JOHN BERNARD MILLER MD” Practice Location

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