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Organization
MILLER MEDICAL & WELLNESS CLINIC A PROFESSIONAL MEDICAL CORP
Active
Organization
MILLER MEDICAL & WELLNESS CLINIC A PROFESSIONAL MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ROY MILLER M.D. (CEO)
(818) 706-9690
Entity
Organization
Contact information
Practice address
28240 AGOURA RD, SUITE102, AGOURA HILLS, CA 91301-2485
(818) 706-9690
(818) 706-9692
Mailing address
28240 AGOURA RD, SUITE102, AGOURA HILLS, CA 91301-2485
(818) 706-9690
(818) 706-9692
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A54820
CA
Other
Enumeration date
07/21/2006
Last updated
02/18/2020
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