Individual
MR. BRENT DAL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCC-A
Contact information
Practice address
2525 BROADWAY, SUITE 105, HELENA, MT 59601
(406) 457-4160
(406) 457-4179
Mailing address
P.O. BOX 6369, HELENA, MT 59604
(406) 447-2828
(406) 447-2825
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
996
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0534684
—
MT
01
—
290448
BCBS OF MT
MT
Enumeration date
09/26/2006
Last updated
08/22/2007
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