MEDICARE: DR. ERIC A 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
1	2085R0202X	Diagnostic Radiology Physician	V1842	TX
2	390200000X	Student in an Organized Health Care Education/Training Program
3	2085R0202X	Diagnostic Radiology Physician	2986	NE

General Provider Information

NPI Number	:	1700346673
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIC A MILLER DO

Provider Business Mailing Address
First Line	:	PO BOX 7239
Second Line	:
City	:	LOVELAND
State	:	CO
Zip	:	80537-0239
Country	:	US
Telephone Number	:	970-663-2742
Fax Number	:	970-667-0847

Provider Business Practice Location Address
First Line	:	2226 NAOMI ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-3824
Country	:	US
Telephone Number	:	402-481-6000
Fax Number	:	402-423-4100

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

Provider Enumeration Date	:	03/25/2019
Last Update Date	:	01/21/2025

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