Individual
LARRY DOUGLAS MILLER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
820 UNIVERSITY BLVD, BIRMINGHAM, AL 35233-1111
(205) 327-5030
(205) 327-5616
Mailing address
1705 RUSHTON ST, GARDENDALE, AL 35071-3819
(205) 631-1025
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-0115
AL
Other
Enumeration date
08/23/2005
Last updated
07/08/2007
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