NPI 1891053922

Stephen A. Miller,d.O.,p.A.

Organisation Exclusive Provider Organization Coffeyville, KS

Practice location

Address: 1717 W 8th St, Coffeyville, KS 67337-3101
Phone: (620) 251-0777
Fax: (620) 251-4173
Mailing address: 1717 West 8th, Coffeyville, KS 67337-3101

Authorised official

Name: Stephen Alan Miller
Title: Owner
Phone: (620) 251-0777

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 0521872 (KS)

Other Exclusive Provider Organization providers in Kansas →

Registry record

NPI: 1891053922
Entity type: Organization
NPI issued: 26 Apr 2012
Record last updated: 26 Apr 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.