Individual
MARLO N MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1111 RONALD REAGAN PKWY, AVON, IN 46123-7085
(317) 217-2100
(317) 217-2110
Mailing address
250 N SHADELAND AVE STE 200, INDIANAPOLIS, IN 46219-4959
(317) 962-4942
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000590A
IN
363AM0700X
Medical Physician Assistant
10000590A
IN
Other
Enumeration date
08/05/2006
Last updated
04/23/2021
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