Gregory Lee Miller OD

NPI 1043282262 - Optometrist - 152W00000X

NPI Details
NPI 1043282262
Gender Male
Enumeration Date 02/02/2006
Last Updated 11/12/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
138 N GRANT AVE
MANTECA CA, 95336-4601, US
Phone (209) 823-7146
Fax (209) 823-0670
Business Location
138 N GRANT AVE
MANTECA CA, 95336-4601, US
Phone (209) 823-7146
Fax (209) 823-0670
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number 05909T
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According to our database, Dr. Gregory Lee Miller OD NPI is 1043282262, taxonomy code is 152W00000X and license number is 05909T, license state is located at California. Gregory Lee Miller OD physically located at 138 N Grant Ave, Manteca CA, 95336-4601. NPI Number Gregory Lee Miller OD has the Individual type.

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1043282262 NPI number is provided on an as is basis without warranty of any kind. 1043282262 is maintained by the National Plan & Provider Enumeration System. The contents of Gregory Lee Miller OD are for informational purposes only.