Individual
THOMS DANIEL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 HENDERSON ST, ARKADELPHIA, AR 71999-0001
(870) 230-5069
Mailing address
352 S VINE ST, WEST UNION, IA 52175-1437
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT
AR
Other
Enumeration date
08/04/2017
Last updated
08/04/2017
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