Individual
DR. ELLEN CAROL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
576 BOYSON RD NE, SUITE 104, CEDAR RAPIDS, IA 52402-7363
(319) 373-3737
Mailing address
3330 NEWCASTLE RD, MARION, IA 52302-4784
(319) 373-3737
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02055
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3127506
—
IA
Enumeration date
01/12/2007
Last updated
11/30/2010
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