Healthcare Provider Details

I. General information

NPI: 1538681085
Provider Name (Legal Business Name): JOSEPH E MILLER MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2017
Last Update Date: 07/20/2021
Certification Date: 07/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9001 JENNY LIND RD STE 3
FORT SMITH AR
72908-8629
US

IV. Provider business mailing address

PO BOX 180728
FORT SMITH AR
72918-0728
US

V. Phone/Fax

Practice location:
  • Phone: 479-385-9001
  • Fax: 479-668-3699
Mailing address:
  • Phone: 479-385-9001
  • Fax: 479-763-1156

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSEPH MILLER
Title or Position: PRESIDENT
Credential: MD
Phone: 870-329-5000