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Organization

MILLER CHIROPRACTIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAROL JO MILLER D.C. (DOCTOR, OWNER)
(563) 219-1125
Entity
Organization

Contact information

Practice address
107 E 11TH ST, DE WITT, IA 52742-1453
(563) 219-1125
Mailing address
107 E 11TH ST, DE WITT, IA 52742-1453
(563) 219-1125

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
007288
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1124341334
NPI
IA
Enumeration date
11/14/2013
Last updated
01/21/2016
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