Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miller Diversified Clinical LLC

Organization Internal Medicine Physician · NPI 1104756667

Miller Diversified Clinical LLC is an Internal Medicine Physician in Maplewood, Missouri. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

7203 Sarah St Apt 1
Maplewood, MO 63143-2418
Phone: (314) 669-1445
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1104756667
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bernard Miller — Ceo/Member · (314) 669-1445
NPI enumeratedMay 19, 2026
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026
Mailing addressPo Box 434091, Maplewood, MO 63143-4094