Organization
MILLER CHIROPRACTIC OF FAIR OAKS,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK HERMAN MILLER D.C. (CEO)
(703) 352-0706
Entity
Organization
Contact information
Practice address
12011 LEE JACKSON HWY, SUITE 100, FAIRFAX, VA 22033-3310
(703) 352-0706
Mailing address
12011 LEE JACKSON HWY, SUITE 100, FAIRFAX, VA 22033-3310
(703) 352-0706
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001118
VA
Other
Enumeration date
10/02/2008
Last updated
10/02/2008
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