Healthcare Provider Details

I. General information

NPI: 1639170814
Provider Name (Legal Business Name): STEVEN CHRISTIAN MILLER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2005
Last Update Date: 10/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 MAPLEWOOD AVE GREENBRIER PHYSICIANS, INC
RONCEVERTE WV
24970-1334
US

IV. Provider business mailing address

200 MAPLEWOOD AVE GREENBRIER PHYSICIANS, INC
RONCEVERTE WV
24970-1334
US

V. Phone/Fax

Practice location:
  • Phone: 304-647-5115
  • Fax: 304-647-3006
Mailing address:
  • Phone: 304-647-5115
  • Fax: 304-647-3006

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number11324
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: