DEREK C. MILLER

JOPLIN, MO
NPI1558810341
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MO  2016027462)
Enumeration Date2016-09-22
Last Update Date2016-09-26
Business Address
-- DEREK C. MILLER CRNA
1102 W 32ND ST
JOPLIN, MO 64804-3503
Phone number: 417-347-1078
Mailing Address
-- DEREK C. MILLER CRNA
PO BOX 3810
JOPLIN, MO 64803-3810
Phone number: 417-347-1078