Individual
MR. JAMES WIRICK MILLER JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
300 N 1ST ST, BOONVILLE, IN 47601-1516
(812) 897-4701
(812) 897-6061
Mailing address
108 1/2 W LOCUST ST, BOONVILLE, IN 47601-1520
(812) 897-2203
(812) 897-6061
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
36000455A
IN
Other
Enumeration date
10/10/2005
Last updated
07/08/2007
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