Individual
CHARLES MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
CHARLES ST., DOT LAKE, AK 99737
(907) 882-2737
(907) 882-2774
Mailing address
PO BOX 2262, DOT LAKE, AK 99737
(907) 882-2737
(907) 882-2774
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/14/2013
Last updated
10/14/2013
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