NPI 1417182460

Jason Allen Miller, IDMT

Practitioner Independent Duty Medical Technicians Whiteman Air Force Base, MO

Practice location

Address: 331 Sijen Ave, Whiteman Air Force Base, MO 65305-1269
Phone: (660) 687-2156
Mailing address: 331 Sijan Ave, Wafb, MO 65305

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

Other Military Health Care Provider providers in Missouri →

Registry record

NPI: 1417182460
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 May 2009
Record last updated: 26 May 2009

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.