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NPI Code Detail

MEDICARE: DR. JAMES L MILLER DO

MEDICARE: DR. JAMES L MILLER DO
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
1207Q00000XFamily Medicine Physician109083MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568443935
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES L MILLER DO
Provider Business Mailing Address
First Line : 617 W NURSERY ST
Second Line : P.O. BOX 370
City : BUTLER
State : MO
Zip : 64730-1840
Country : US
Telephone Number : 660-200-7133
Fax Number : 660-200-7015
Provider Business Practice Location Address
First Line : 617 W NURSERY ST
Second Line :
City : BUTLER
State : MO
Zip : 64730-1840
Country : US
Telephone Number : 660-200-7133
Fax Number : 660-200-7015
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2005
Last Update Date : 02/18/2010

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