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Individual

DR. THOMAS EDWARD MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
388 BEN BOLT AVE, TAZEWELL, VA 24651-5386
(276) 988-8730
(276) 988-0563
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101238602
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0122460000
WV
Enumeration date
07/20/2005
Last updated
10/19/2023
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