Individual
MR. PAUL GORDON GUY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
140 HAMILTON RD, AT ROOM, GAHANNA, OH 43230
(614) 413-5505
Mailing address
7796 HOLDERMAN ST, LEWIS CENTER, OH 43035-6003
(614) 337-3737
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-189
OH
Other
Enumeration date
05/03/2006
Last updated
12/16/2014
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