Organization
GLENN C. MILLER CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN CLIFFORD MILLER D.C. (PRESIDENT)
(530) 542-4778
Entity
Organization
Contact information
Practice address
3637 LARCH AVE, STE. 1, SOUTH LAKE TAHOE, CA 96150-8448
(530) 542-4778
Mailing address
3637 LARCH AVE, STE. 1, SOUTH LAKE TAHOE, CA 96150-8448
(530) 542-4778
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
—
—
Other
Enumeration date
02/27/2007
Last updated
08/22/2020
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