Individual
MR. PATRICK D MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
8227 NORTHWEST BLVD STE 160, INDIANAPOLIS, IN 46278-1386
(317) 415-5747
Mailing address
14726 STRAUSS DR APT 1823, CARMEL, IN 46032-7046
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001480A
IN
Other
Enumeration date
05/13/2010
Last updated
05/13/2010
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