Organization
PHILADELPHIA PAIN AND NEUROLOGY INSTITUTE, LLC
Active
Other names
Philadelphia Pain and Neurology Institute, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH MICHAEL MILLER DC (PROVIDER)
(215) 433-1575
Entity
Organization
Contact information
Practice address
1528 WALNUT STREET SUITE 620, PHILADELPHIA, PA 19102
(215) 433-1575
(215) 732-1649
Mailing address
1528 WALNUT STREET SUITE 620, PHILADELPHIA, PA 19102
(215) 433-1575
(215) 732-1649
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
2084N0400X
Neurology Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
11/27/2018
Last updated
11/27/2018
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