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Shane William Miller, DO
Student in an Organized Health Care Education/Training Program in Joplin, Missouri
NPI 1669119277

Shane William Miller is a Student in an Organized Health Care Education/Training Program based in Joplin, MO. Shane William Miller practices in Joplin, MO and has the professional credentials of DO. The NPI Number for Shane William Miller is 1669119277 and holds a License No. (Missouri).

The current practice location address for Shane William Miller is 1031 Mcintosh Cir, Joplin, MO and can be reached out via phone at 417-347-5665.

Location: 1031 Mcintosh Cir, Joplin, MO, 64804-3643
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669119277
Provider Name
Shane William Miller
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1031 Mcintosh Cir, Joplin, MO, 64804-3643
Phone Number
417-347-5665
Fax Number
Provider Enumeration Date
05/16/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1031 Mcintosh Cir
City
Joplin
State
Missouri
Zip
64804-3643
Phone Number
417-347-5665
Fax Number
person
Provider Business Mailing Address Details
Address
1031 Mcintosh Cir
City
Joplin
State
Missouri
Zip
64804-3643
Phone Number
417-347-5665
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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