Individual
DR. GUY BRADFORD MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
404 S COURT ST, MARION, IL 62959-2712
(618) 997-8066
(618) 997-7702
Mailing address
404 S COURT ST, P.O. BOX 1008, MARION, IL 62959-2712
(618) 997-8066
(618) 997-7702
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038008629
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10022981
BLUE CROSS/BLUE SHIELD ID
IL
01
—
401543
HEALTHLINK PIN
—
Enumeration date
05/08/2006
Last updated
07/17/2024
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