Individual
MATTHEW J MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1103 OLD TOWN LN, CHEYENNE, WY 82009-4353
(307) 426-4855
Mailing address
1103 OLD TOWN LN, CHEYENNE, WY 82009-4353
(307) 426-4855
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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