Individual
MARVIN RAY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
13410 W LAKE CABLE RD, PARTRIDGE, KS 67566-9026
(620) 727-3926
Mailing address
13213 S SEGO RD, ARLINGTON, KS 67514-9422
(620) 727-3926
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
43-557214-072
KS
Other
Enumeration date
12/20/2013
Last updated
09/27/2021
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