Organization
A. LARRY MILLER, MD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. A LARRY MILLER MD (OWNER)
(703) 938-5660
Entity
Organization
Contact information
Practice address
311 MAPLE AVE W, SUITE H, VIENNA, VA 22180-4309
(703) 938-5660
Mailing address
311 MAPLE AVE W, SUITE H, VIENNA, VA 22180-4309
(703) 938-5660
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
0101026494
VA
Other
Enumeration date
03/07/2008
Last updated
03/07/2008
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