MEDICARE: JAMES ROLLAND MILLER M.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
1	207ZP0105X	Clinical Pathology/Laboratory Medicine Physician	27524	MO

General Provider Information

NPI Number	:	1043318124
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES ROLLAND MILLER M.D.

Provider Business Mailing Address
First Line	:	2916 S BRENTWOOD BLVD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63144-2714
Country	:	US
Telephone Number	:	314-963-1745
Fax Number	:

Provider Business Practice Location Address
First Line	:	2916 S BRENTWOOD BLVD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63144-2714
Country	:	US
Telephone Number	:	314-963-1745
Fax Number	:

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

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	02/15/2026

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