Russell Miller, CP

NPI #1003241563 in Olympia, Washington

Provider Information

NPI Number: 1003241563
Entity Type: Individual
Name: Russell Miller, CP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Prosthetist
Credential: CP
Enumeration Date: Sep 3, 2013
Last Updated: Sep 3, 2013

Practice Location

Address: 3508 12TH AVE NE
City: Olympia
State: Washington
ZIP Code: 98506-5218
Phone: (360) 459-1099

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prosthetist	224P00000X	Primary

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