Healthcare Provider Details

I. General information

NPI: 1609985795
Provider Name (Legal Business Name): FRANK DAVID MILLER D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: F. DAVID MILLER D.C.

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 04/20/2023
Certification Date: 04/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2322 S MAIN ST
FORT SCOTT KS
66701-3026
US

IV. Provider business mailing address

PO BOX 1832
PITTSBURG KS
66762-1832
US

V. Phone/Fax

Practice location:
  • Phone: 888-777-9170
  • Fax:
Mailing address:
  • Phone: 888-777-9170
  • Fax: 620-231-5062

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number01-04320
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: