Organization
MILLER ORTHOPAEDIC AFFILIATES PC
Active
Parent organization
MILLER ORTHOPAEDIC AFFILIATES PC
Other names
MILLER ORTHOPEDIC SPECIALISTS
Organization subpart
Yes
Provider details
NPI number
Legal business name
MILLER ORTHOPAEDIC AFFILIATES PC
Authorized official
DR. DANIEL J LAROSE M.D. (PRESIDENT)
(712) 323-5333
Entity
Organization
Contact information
Practice address
16221 EVANS PLZ, OMAHA, NE 68116-6444
(402) 991-9958
Mailing address
1 EDMUNDSON PL, STE 500, COUNCIL BLUFFS, IA 51503-4619
(712) 323-5333
(712) 323-3252
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/17/2015
Last updated
10/01/2015
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