MILLER UROGYNECOLOGY SC NPI 1801088067

NPI Information

MILLER UROGYNECOLOGY, SC is an obstetrics gynecology in Bloomington, IL. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. MILLER UROGYNECOLOGY, SC NPI is 1801088067. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

107 N REGENCY DR
SUITE 2
BLOOMINGTON, IL
ZIP 61701-515
Phone: (309) 665-0900

The provider's authorized official is Jay-james Miller .
The authorized official title is Medical Director and has the following contact phone number (309) 665-0900.

The CLIA number assigned to this NPI record is 14D1072942 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/13/2007 and was last updated on 8/13/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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