MR. James Wirick Miller JR., ATC, CSCS

NPI #1396733804 in Boonville, Indiana

Provider Information

NPI Number: 1396733804
Entity Type: Individual
Name: MR. James Wirick Miller JR., ATC, CSCS
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Specialist
Credential: ATC, CSCS
Enumeration Date: Oct 10, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 300 N 1ST ST
City: Boonville
State: Indiana
ZIP Code: 47601-1516
Phone: (812) 897-4701

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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