Organization
GLENN C. MILLER CHIROPRACTIC, INC.
Active
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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