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Individual

DR. KEITH C MILLER P C.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1940 W BASELINE ROAD, STE 7, MESA, AZ 85202-9006
(480) 345-2900
(480) 345-2900
Mailing address
1940 W BASELINE ROAD, STE 7, MESA, AZ 85202-9006
(480) 345-2900
(480) 345-2900

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4081
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AZ0230400
BCBS
Enumeration date
07/26/2006
Last updated
08/16/2012
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