Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 2009001452 | MO |
Y | 2080P0208X | Pediatric Infectious Diseases | 2009001452 | MO |
NPI | 1427223874 |
---|---|
Provider Name | Dr. Aaron S Miller |
First Address | Chesterfield, MO 63017-3223 |
Second Address | Saint Louis, MO 63104-1003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2008 |
Last Update Date | 18/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
284086001 | (05) | IL |