Miller Chiropractic Of Fair Oaks,pc | |
12011 Lee Jackson Hwy, Suite 100, Fairfax, VA 22033-3310 | |
(703) 352-0706 | |
Not Available |
Full Name | Miller Chiropractic Of Fair Oaks,pc |
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Type | Facility |
Speciality | Chiropractor |
Location | 12011 Lee Jackson Hwy, Fairfax, Virginia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1487805958 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 0104001118 (Virginia) | Primary |
Provider Name | Mark H Miller |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1811192313 PECOS PAC ID: 0446239016 Enrollment ID: I20040716000673 |
Mailing Address | Practice Location Address |
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Miller Chiropractic Of Fair Oaks,pc 12011 Lee Jackson Hwy, Suite 100, Fairfax, VA 22033-3310 Ph: (703) 352-0706 | Miller Chiropractic Of Fair Oaks,pc 12011 Lee Jackson Hwy, Suite 100, Fairfax, VA 22033-3310 Ph: (703) 352-0706 |
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