MEDICARE: AARON LEE MILLS 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	207Q00000X	Family Medicine Physician	2006038821	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2006038821	OTHER	MO	MISSOURI LICENSE
2	25-27144	OTHER	SC	STATE LICENSE NUMBER
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275628349
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AARON LEE MILLS MD

Provider Business Mailing Address
First Line	:	805 N KENTUCKY AVE
Second Line	:
City	:	WEST PLAINS
State	:	MO
Zip	:	65775-2022
Country	:	US
Telephone Number	:	417-256-2111
Fax Number	:	417-256-4858

Provider Business Practice Location Address
First Line	:	805 N KENTUCKY AVE
Second Line	:
City	:	WEST PLAINS
State	:	MO
Zip	:	65775-2022
Country	:	US
Telephone Number	:	417-256-2111
Fax Number	:	417-256-4858

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

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	03/07/2023

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