| NPI Details | |
|---|---|
| NPI | 1053455147 |
| Gender | Male |
| Enumeration Date | 02/20/2007 |
| Last Updated | 07/08/2007 |
| Entity Type | Individual |
| Active | Over 11 years ago |
| Practice Location | |
|---|---|
| 640 E BROADWAY AVE JACKSON WY, 83001, US |
|
| Phone | (307) 733-2046 |
| Fax | (307) 733-6289 |
| Business Location | |
|---|---|
| PO BOX 1868 JACKSON WY, 83001-1868, US |
|
| Phone | (307) 733-2046 |
| Fax | (307) 733-6289 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 1041C0700X |
| License State | |
| License Number | |
| Remove 1053455147 NPI Number | |
According to our database, Heath P Miller LCSW NPI is 1053455147, taxonomy code is 1041C0700X Heath P Miller LCSW physically located at 640 E Broadway Ave, Jackson WY, 83001. NPI Number Heath P Miller LCSW has the Individual type.
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1053455147 NPI number is provided on an as is basis without warranty of any kind. 1053455147 is maintained by the National Plan & Provider Enumeration System. The contents of Heath P Miller LCSW are for informational purposes only.
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