Provider Demographics
NPI:1386737799
Name:MILLER, ROBERT M (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:M
Last Name:MILLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2608 CARRINGTON POINTE RD
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72903-5261
Mailing Address - Country:US
Mailing Address - Phone:479-484-0858
Mailing Address - Fax:
Practice Address - Street 1:2900 MEDICAL CENTER PKWY STE 240
Practice Address - Street 2:
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72712-3213
Practice Address - Country:US
Practice Address - Phone:479-273-9173
Practice Address - Fax:479-464-9989
Is Sole Proprietor?:No
Enumeration Date:2006-09-30
Last Update Date:2010-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARR4322207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology