Individual
MR. LEO J. MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
1026 A AVE NE, CEDAR RAPIDS, IA 52402-5036
(319) 369-7211
Mailing address
1100 ROCKFORD RD SW, CEDAR RAPIDS, IA 52404-1858
(319) 261-0110
(319) 261-0735
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000723
IA
Other
Enumeration date
12/10/2009
Last updated
12/10/2009
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