Individual
GLENN ALAN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1809 NATIONAL AVE, SAN DIEGO, CA 92113-2113
(619) 515-2300
Mailing address
1809 NATIONAL AVE, SAN DIEGO, CA 92113-2113
(619) 515-2300
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3584
CA
Other
Enumeration date
07/11/2006
Last updated
03/17/2018
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