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Individual

DR. DAVID A MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
2504 W 15TH AVE, EMPORIA, KS 66801-6102
(620) 342-7054
(620) 342-8203
Mailing address
2504 W 15TH AVE, EMPORIA, KS 66801-6102
(620) 342-7054
(620) 342-8203

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1185-3
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0279700001
CIGNA DMERC
05
100218190B
KS
Enumeration date
08/10/2005
Last updated
01/04/2010
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