Billy B Miller III CRNA

NPI 1003882820 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1003882820
Gender Male
Enumeration Date 02/23/2006
Last Updated 08/06/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
2510 BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT LA, 71118-3119, US
Phone (318) 212-5000
Fax
Business Location
2439 CHUCHILL DRIVE
BOSSIER CITY LA, 71111, US
Phone (318) 741-0863
Fax
Toxanomy
Taxonomy Code 367500000X
License State Louisiana
License Number RN075386
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According to our database, Billy B Miller III CRNA NPI is 1003882820, taxonomy code is 367500000X and license number is RN075386, license state is located at Louisiana. Billy B Miller III CRNA physically located at 2510 Bert Kouns Industrial Loop, Shreveport LA, 71118-3119. NPI Number Billy B Miller III CRNA has the Individual type.

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1003882820 NPI number is provided on an as is basis without warranty of any kind. 1003882820 is maintained by the National Plan & Provider Enumeration System. The contents of Billy B Miller III CRNA are for informational purposes only.