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Individual

DR. SCOTT ALAN MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
750 E MAIN ST, DELPHI, IN 46923-1327
(765) 564-2800
(765) 564-2477
Mailing address
PO BOX 275, DELPHI, IN 46923-0275
(765) 564-2800
(765) 564-2477

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1-800-3231-B
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000564779
ANTHEM
IN
01
000000574587
ANTHEM
IN
05
200899700
IN
Enumeration date
10/03/2005
Last updated
05/13/2010
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