Individual
EDWARD A MILLER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
BLDG 497 MOFFETT RD, DEEP SUBMERGENCE UNIT, SAN DIEGO, CA 92135-7049
(619) 545-0574
Mailing address
P.O. BOX 357049, DEEP SUBMERGENCE UNIT, SAN DIEGO, CA 92135-7049
(619) 545-6962
(619) 545-6868
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
03/20/2006
Last updated
04/25/2011
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