# BRIAN WAYNE MILLER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Scooterville Medical Supply
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972734457
- **Authorized official:** BRIAN WAYNE MILLER B.A. CHEMISTRY (OWNER)
- **Authorized official phone:** (951) 756-8558

## Contact information

- **Practice address:** 303 INDUSTRIAL WAY, STE 2, FALLBROOK, CA 92028-2358
- **Practice address phone:** (951) 756-8558
- **Mailing address:** 303 INDUSTRIAL WAY, STE 2, FALLBROOK, CA 92028-2358
- **Mailing address phone:** (951) 756-8558

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 16691 | CA | Yes |

## Other

- **Enumeration date:** 08/02/2009
- **Last updated:** 08/21/2009