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DR. THEODORE H MILLER M.D., PHD.

Physicians - Otolaryngology Facial Plastic Surgery

Ft. Thomas, Kentucky

Provider NPI: 1720078264

Provider Information:
DR. THEODORE H MILLER M.D., PHD.


Practice Location:
40 NORTH GRAND AVE. SUITE 101 FT. THOMAS, KY 41075 US
Tel: 859-781-4900  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Y00000XPhysicians
Otolaryngology
KY25084
N207YX0905XPhysicians
Otolaryngology
KY25084

Other Provider Identifiers:

IssuerNumberStateType
ANTHEM BC/BS00000003321601
64250848OH05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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