Organization
GLENN A. MILLER, D.P.M.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN A MILLER DPM (OWNER)
(424) 201-1488
Entity
Organization
Contact information
Practice address
11076 WEATHERWOOD TER, SAN DIEGO, CA 92131-2669
(424) 201-1488
Mailing address
11076 WEATHERWOOD TER, SAN DIEGO, CA 92131-2669
(424) 201-1488
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164457966
NPI
CA
Enumeration date
12/13/2022
Last updated
12/13/2022
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