Provider Demographics
NPI:1316925274
Name:MILLER, DONALD BARKER (MD)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:BARKER
Last Name:MILLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:DONALD
Other - Middle Name:
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 749
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:VT
Mailing Address - Zip Code:05661-0749
Mailing Address - Country:US
Mailing Address - Phone:802-851-8619
Mailing Address - Fax:802-851-8716
Practice Address - Street 1:272 N MAIN ST
Practice Address - Street 2:SUITE 101
Practice Address - City:CAMBRIDGE
Practice Address - State:VT
Practice Address - Zip Code:05444-9810
Practice Address - Country:US
Practice Address - Phone:802-644-5114
Practice Address - Fax:802-888-6075
Is Sole Proprietor?:No
Enumeration Date:2006-01-02
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0420005252207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT0420005252OtherSTATE LICENSE
VT0004599Medicaid
VTAX4450Medicare PIN
VT0420005252OtherSTATE LICENSE