Individual provider · Type 1 NPI

Caleb Lee Miller

Student in an Organized Health Care Education/Training Program · Edwardsville, IL

NPI number 1174352066 Active

Practice location

1 Hairpin Dr Edwardsville Il 62026
Edwardsville, IL 62026-0001

Call (618) 650-3705 Map

Mailing address

2312 S Park Ave
Springfield, IL 62704-4355

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1174352066

Caleb Lee Miller's National Provider Identifier is 1174352066, issued on Jul 29, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Edwardsville, IL. The record was last updated on Jul 29, 2024.