Organization
ADVANCED ORTHOPEDIC CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAURICE HAROLD MILLER M.D. (CEO/OWNER)
(618) 288-8885
Entity
Organization
Contact information
Practice address
3 COUNTRY CLUB EXECUTIVE PARK, SUITE 100, GLEN CARBON, IL 62034-1583
(618) 288-8885
(618) 288-8886
Mailing address
3 COUNTRY CLUB EXECUTIVE PARK, SUITE 100, GLEN CARBON, IL 62034-1583
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036060200
IL
Other
Enumeration date
07/20/2006
Last updated
06/13/2008
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