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Contact Information

RUSTY MILLER
2345 DOUGHERTY FERRY RD
SAINT LOUIS, MO63122-3313
 Phone: 314-614-7038
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse First Assistant

163WR0006X
Indicates primary specialty

NPI Profile & details for RUSTY MILLER · (Male)

NPI # 1295235018
Status Active
Credentials
Entity Individual
Enumeration date 02/19/2018
Last updated 02/19/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 155019
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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