Individual
TRAVIS DANIEL MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1078 HOSPITAL RD, FORT STORY, VA 23459-1197
(757) 422-7936
(757) 422-7949
Mailing address
1078 HOSPITAL RD, FORT STORY, VA 23459-1197
(757) 422-7936
(757) 422-7949
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
01/28/2008
Last updated
01/28/2008
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