Dustin John Andrew Miller, DPT | |
426 N Imperial Ave, El Centro, CA 92243-2329 | |
(760) 679-0210 | |
(760) 679-0213 |
Full Name | Dustin John Andrew Miller |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 426 N Imperial Ave, El Centro, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053943720 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT298091 (California) | Primary |
Provider Name | Mdrs Spine & Sport Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1952394603 PECOS PAC ID: 3274446687 Enrollment ID: O20031111000725 |
Mailing Address | Practice Location Address |
---|---|
Dustin John Andrew Miller, DPT 3760 Convoy St Ste 101, San Diego, CA 92111-3743 Ph: (858) 264-1434 | Dustin John Andrew Miller, DPT 426 N Imperial Ave, El Centro, CA 92243-2329 Ph: (760) 679-0210 |
Brandon Morlett, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1611 W Main St, El Centro, CA 92243 Phone: 760-337-1144 | |
Amisha Kishen Lala, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1611 W Main St, El Centro, CA 92243 Phone: 760-337-1144 Fax: 760-337-8259 | |
Hoang Vu Le, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 426 N Imperial Ave, El Centro, CA 92243 Phone: 760-592-8148 Fax: 760-841-5556 | |
Miss Ann-marie Wurzbach, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 428 N Imperial Ave, El Centro, CA 92243 Phone: 760-353-3422 Fax: 760-353-9163 | |
Russell Dial, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 1611 W Main St, El Centro, CA 92243 Phone: 760-337-1144 Fax: 760-337-8259 | |
Drue Alan Bosco, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 426 N Imperial Ave, El Centro, CA 92243 Phone: 760-592-8148 Fax: 760-841-5556 |