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Individual
MR. BRYON W MILLER
Active
Individual
MR. BRYON W MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN RNC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28147084A
IN
363L00000X
Nurse Practitioner
Primary
71000896
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200279670A
—
IN
01
—
500017271
RR MEDICARE
IN
Enumeration date
11/01/2005
Last updated
08/02/2018
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