Individual
BROC DOUGLAS MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0816
(434) 924-5348
(434) 924-8335
Mailing address
1215 LEE ST BOX 800499, CHARLOTTESVILLE, VA 22908-0816
(434) 924-5348
(434) 924-8335
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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