Individual
DR. RANDALL BRUCE MIERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1204 E PEMBROKE AVE, HAMPTON, VA 23669-3226
(757) 723-1496
(757) 723-4142
Mailing address
202 COINJOCK RUN, YORKTOWN, VA 23693-2737
(757) 867-5514
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104000720
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
188327
ANTHEM
VA
Enumeration date
11/01/2006
Last updated
01/22/2010
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