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Organization
MILLER CHIROPRACTIC OF FAIR OAKS,PC
Active
Organization
MILLER CHIROPRACTIC OF FAIR OAKS,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK HERMAN MILLER D.C. (CEO)
(703) 352-0706
Entity
Organization
Contact information
Practice address
12011 LEE JACKSON HWY, SUITE 100, FAIRFAX, VA 22033-3310
(703) 352-0706
Mailing address
12011 LEE JACKSON HWY, SUITE 100, FAIRFAX, VA 22033-3310
(703) 352-0706
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001118
VA
Other
Enumeration date
10/02/2008
Last updated
10/02/2008
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