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NPI Code Detail

MEDICARE: H. MATTHEW MILLER D.C P.C.

MEDICARE: H. MATTHEW MILLER D.C P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor7013AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11124110697OTHERAZIND NPI

General Provider Information

NPI Number : 1598951691
Entity Type Code : Organization
Provider Name (Legal Business Name) : H. MATTHEW MILLER D.C P.C.
Provider Business Mailing Address
First Line : 425 WEST GUADALUPE RD #113
Second Line :
City : GILBERT
State : AZ
Zip : 85233-3202
Country : US
Telephone Number : 480-926-3102
Fax Number :
Provider Business Practice Location Address
First Line : 425 WEST GUADALUPE RD #113
Second Line :
City : GILBERT
State : AZ
Zip : 85233-3202
Country : US
Telephone Number : 480-926-3102
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. H. MATTHEW MILLER
Credential : D.C.
Telephone Number : 480-926-3102
Provider Enumeration Date : 09/21/2007
Last Update Date : 06/16/2008

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