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NPI Code Detail

MEDICARE: DR. MARKUS MILLER

MEDICARE: DR. MARKUS 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
1183500000XPharmacist0202214052VA

General Provider Information

NPI Number : 1417330200
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARKUS MILLER
Provider Business Mailing Address
First Line : 7107 FOREST HILL AVE
Second Line :
City : RICHMOND
State : VA
Zip : 23225-1501
Country : US
Telephone Number : 757-339-5910
Fax Number :
Provider Business Practice Location Address
First Line : 7107 FOREST HILL AVE
Second Line :
City : RICHMOND
State : VA
Zip : 23225-1501
Country : US
Telephone Number : 757-339-5910
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2015
Last Update Date : 06/30/2015

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Directions to “ DR. MARKUS MILLER ” Practice Location

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