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Mr. Daniel Jason Miller
Chiropractor in Granite City, Illinois
NPI 1104832294

Daniel Jason Miller is a Chiropractor based in Ballwin, IL. Daniel Jason Miller practices in Granite City, IL. The NPI Number for Daniel Jason Miller is 1104832294 and holds a License No. (Illinois).

The current practice location address for Daniel Jason Miller is 3136 Nameoki Rd, Granite City, IL and can be reached out via phone at 618-452-2300 and via fax at 618-452-0373.

Location: 3136 Nameoki Rd, Granite City, IL, 63011-3334
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104832294
Provider Name
Daniel Jason Miller
Credential
Provider Entity Type
Individual
Gender
Male
Address
3136 Nameoki Rd, Granite City, IL, 63011-3334
Phone Number
618-452-2300
Fax Number
618-452-0373
Provider Enumeration Date
07/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
06026803 01 IL BLUE CROSS & BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
3136 Nameoki Rd
City
Granite City
State
Illinois
Zip
62040-5013
Phone Number
618-452-2300
Fax Number
618-452-0373
person
Provider Business Mailing Address Details
Address
3136 Nameoki Rd
City
Granite City
State
Illinois
Zip
62040-5013
Phone Number
618-452-2300
Fax Number
618-452-0373
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
(Illinois)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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