Miller, Dace L

Miller, Dace L is an individual health care provider with primary practice located at 3945 E Turtle Hatch Rd , Springfield MO 65809-3750. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Miller, Dace L can be contacted via phone (417) 886-1884.

Contact Information

Primary practice address
3945 E Turtle Hatch Rd Springfield MO 65809-3750
Phone: (417) 886-1884
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X R3J28 Missouri

Profile Details

NPI number 1477596492
LBN Legal business name Miller, Dace L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Dec 2nd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477596492 NPPES
Other 10757 BLUE CROSS/BLUE SHIELD
MEDICAID 202673513 BLUE CROSS/BLUE SHIELD

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