Organization · Type 2 NPI

Miller Diversified Clinical LLC

Internal Medicine Physician · Maplewood, MO

NPI number 1104756667 Active

Practice location

7203 Sarah St Apt 1
Maplewood, MO 63143-2418

Mailing address

PO Box 434091
Maplewood, MO 63143-4094

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician Primary 207R00000XNone listed

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

Another provider at this address

About NPI 1104756667

Miller Diversified Clinical LLC's National Provider Identifier is 1104756667, issued on May 19, 2026. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Maplewood, MO. The record was last updated on May 19, 2026.