Individual
DR. MARK LOUIS MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
8008 WESTPARK DR, KAISER PERMANENTE TYSONS CORNER MEDICAL CENTER, MC LEAN, VA 22102-3109
(703) 287-6400
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
00610
MD
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103000673
VA
213ES0103X
Foot & Ankle Surgery Podiatrist
PO361
DC
Other
Enumeration date
11/16/2006
Last updated
12/06/2012
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