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Organization
MILLER CHIROPRACTIC CENTER, INC.
Active
Organization
MILLER CHIROPRACTIC CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN W MILLER DC (PRES/ CHIROPRACTOR)
(515) 386-2515
Entity
Organization
Contact information
Practice address
206 N GRIMMELL RD, JEFFERSON, IA 50129-1732
(515) 386-2515
(515) 386-4286
Mailing address
206 N GRIMMELL RD, JEFFERSON, IA 50129-1732
(515) 386-2515
(515) 386-4286
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
AO5386
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1123117
—
IA
01
—
350046121
RR MD
—
01
—
57983
BLUE CROSS/ BLUE SHIELD
IA
Enumeration date
10/09/2012
Last updated
10/09/2012
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