IndividualActive
Jerry Miller
NPI 1811255201 · Interventional Pain Medicine Physician · Columbia, MO
Provider details
- NPI number
- 1811255201
- Entity type
- Individual
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 304573 (LA)
Mailing address
4701 Cedar Coals Ct # a
Columbia, MO 65203-9072
Registry dates
- Enumerated
- 2012-04-24
- Last updated
- 2022-04-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.