Individual
RORY DEAN MILLER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
5501 HIGH ST W, PORTSMOUTH, VA 23703-3739
(757) 462-7403
Mailing address
5501 HIGH STREET W, PORTSMOUTH, VA 23703
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710I1002X
INDEPENDENT DUTY CORSPMAN
—
Enumeration date
03/28/2006
Last updated
07/08/2007
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