Individual
REBECCA L MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3 S 4TH AVE, MARSHALLTOWN, IA 50158-2924
(641) 754-5151
Mailing address
103 STRAWBERRY CT, AMES, IA 50010-8166
(816) 695-9575
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002311
IA
Other
Enumeration date
07/13/2012
Last updated
11/30/2012
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