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NPI Code Detail

MEDICARE: STEVEN MILLER

MEDICARE:   STEVEN  MILLER
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
1111NR0400XRehabilitation ChiropractorDC-05345OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DC-05345OTHEROHCHIROPRACTIC LICENSE

General Provider Information

NPI Number : 1073365151
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN MILLER
Provider Business Mailing Address
First Line : PO BOX 700688
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78270-0688
Country : US
Telephone Number : 800-404-6050
Fax Number : 866-313-3397
Provider Business Practice Location Address
First Line : 5845 FAR HILLS AVE
Second Line :
City : DAYTON
State : OH
Zip : 45429-2209
Country : US
Telephone Number : 800-404-6050
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2024
Last Update Date : 04/03/2024

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Directions to “ STEVEN MILLER ” Practice Location

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