MEDICARE: DR. WILLIAM CLIFFORD 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
1	207R00000X	Internal Medicine Physician	35035003M	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	000000020615	OTHER	OH	ANTHEM

General Provider Information

NPI Number	:	1740239391
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM CLIFFORD MILLER MD

Provider Business Mailing Address
First Line	:	6620 CLOUGH PIKE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45244-4039
Country	:	US
Telephone Number	:	513-231-9010
Fax Number	:	513-231-9706

Provider Business Practice Location Address
First Line	:	6620 CLOUGH PIKE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45244-4039
Country	:	US
Telephone Number	:	513-231-9010
Fax Number	:	513-231-9706

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	12/20/2010

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