Individual
DR. DAVID VERNON MILJOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
51 MADDEX DR, MADDEX PROFESSIONAL CENTER, SHEPHERDSTOWN, WV 25443
(304) 876-2230
(304) 876-3943
Mailing address
PO BOX 1566, SHEPHERDSTOWN, WV 25443-1566
(304) 876-2230
(304) 876-3943
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
WV490
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0131461000
—
WV
Enumeration date
10/05/2006
Last updated
07/08/2007
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