Individual provider · Type 1 NPI
Johnathan Chance Miller, MD
General Practice Physician · St. Louis, MO
NPI number
1235623372
Active
Practice location
7122 Nashville Ave
St. Louis, MO 63117-2337
Fax (314) 350-0231
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 2020035594 (MO) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1235623372
Johnathan Chance Miller, MD's National Provider Identifier is 1235623372, issued on Jun 21, 2018. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in St. Louis, MO. The record was last updated on Aug 1, 2024.