Miller, Mark Leland

Miller, Mark Leland is an individual health care provider with primary practice located at 1 Childrens Pl Ste 1B, Saint Louis MO 63110-1002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery, which is considered as his primary health care specialty. Miller, Mark Leland can be contacted via phone (314) 454-6062.

Contact Information

Primary practice address
1 Childrens Pl Ste 1B Saint Louis MO 63110-1002
Phone: (314) 454-6062
Fax: (314) 454-5054
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery 207XP3100X 2013003538 Missouri

Profile Details

NPI number 1053576215
LBN Legal business name Miller, Mark Leland
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2008
Last updated Apr 25th, 2024 - about last year

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 1053576215 NPPES
Missouri MEDICAID 200013888

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