Individual
MR. THEODORE M MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 HOSPITAL CT, BELLOWS FALLS, VT 05101-1489
(802) 463-1346
(802) 463-1290
Mailing address
1 HOSPITAL CT, BELLOWS FALLS, VT 05101-1489
(802) 463-1346
(802) 463-1290
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0420009715
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN1849
—
VT
Enumeration date
03/27/2006
Last updated
09/19/2013
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