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Individual

MR. DOUGLAS ALLEN MILLER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
LAT, ATC, CSCS, OTC

Contact information

Practice address
8450 NORTHWEST BLVD, INDIANAPOLIS, IN 46278-1381
(317) 802-2000
(317) 802-3258
Mailing address
15857 RIVER BIRCH RD, WESTFIELD, IN 46074-9791
(317) 802-3200
(317) 802-3258

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000547
IN

Other

Enumeration date
08/16/2005
Last updated
07/08/2007
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