Individual
DR. MARK D. MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 RAY C HUNT DR, SUITE 330, CHARLOTTESVILLE, VA 22903-2980
(434) 982-4832
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
0101228023
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821065848
—
VA
Enumeration date
03/08/2006
Last updated
11/01/2012
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