Whalio Doctors

NPI 1003915968

Jay James Miller, MD

Practitioner Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician Bloomington, IL

Practice location

Address
107 N Regency Dr Suite 2, Bloomington, IL 61701
Phone
(309) 665-0900
Fax
(309) 665-0901

Registered specialties (2)

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207VF0040X Licence 036-108046 (IL)
Obstetrics & Gynecology Physician
Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 036-108046 (IL)

Registry record

NPI
1003915968
Entity type
Individual
Sex (as registered)
Male
NPI issued
21 Sep 2006
Record last updated
3 Jan 2013

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.