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Individual

DR. RICHARD J. MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
10370 PARK RD, SUITE 100, CHARLOTTE, NC 28210-8508
(704) 542-8253
(704) 541-0186
Mailing address
10370 PARK RD, CHARLOTTE, NC 28210-8508
(704) 542-8253

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
143
NC
213ES0103X
Foot & Ankle Surgery Podiatrist
143
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8908123
NC
Enumeration date
07/07/2005
Last updated
12/09/2009
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