Organization
BRIAN WAYNE MILLER
Active
Other names
Scooterville Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN WAYNE MILLER B.A. CHEMISTRY (OWNER)
(951) 756-8558
Entity
Organization
Contact information
Practice address
303 INDUSTRIAL WAY, STE 2, FALLBROOK, CA 92028-2358
(951) 756-8558
Mailing address
303 INDUSTRIAL WAY, STE 2, FALLBROOK, CA 92028-2358
(951) 756-8558
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
16691
CA
Other
Enumeration date
08/02/2009
Last updated
08/21/2009
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