Individual
TONY L MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
24276 166TH ST, AIRPORT RD, EAGLE BUTTE, SD 57625
(605) 964-7724
Mailing address
24276 166TH ST, AIRPORT RD, P.O. BOX 590, EAGLE BUTTE, SD 57625
(605) 964-7724
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R38342
SD
Other
Enumeration date
05/15/2014
Last updated
05/15/2014
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