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Individual

DR. DUANE DALE MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
144 LAFAYETTE AVE, MOUNDSVILLE, WV 26041-1029
(304) 843-1192
(304) 843-1197
Mailing address
710 GLENWOOD AVE, MOUNDSVILLE, WV 26041-1838
(304) 845-2534
(304) 843-1197

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
628
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001710780
MOUNTAIN STATE BCBS
WV
01
0775005000
WV MEDICAID
WV
01
3797826-001
CIGNA
WV
01
5472552
AETNA
WV
01
550760012-00
WV WORKERS COMPENSATION
WV
01
628
HEALTH PLAN
WV
Enumeration date
09/21/2005
Last updated
07/08/2007
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