Individual
MR. ALAN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT, ITAT
Contact information
Practice address
5620 READ BLVD, NEW ORLEANS, LA 70127-3106
(504) 592-6600
Mailing address
3160 MEADOW LAKE DR E, SLIDELL, LA 70461-5552
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATH.200286
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y18338056
UMR LCMC
—
Enumeration date
09/25/2017
Last updated
09/25/2017
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