Individual
DALTON MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
402 12TH AVE NE, HAMPTON, IA 50441-1117
(641) 456-4251
Mailing address
402 12TH AVE NE, HAMPTON, IA 50441-1117
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
092102
IA
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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