person
A Larry Miller, MD
Specialist in Vienna, Virginia
NPI 1215933973

A Larry Miller is a Specialist based in Vienna, VA. A Larry Miller practices in Vienna, VA and has the professional credentials of MD. The NPI Number for A Larry Miller is 1215933973 and holds a License No. 0101026494 (Virginia).

The current practice location address for A Larry Miller is 311 Maple Ave W, Vienna, VA and can be reached out via phone at 703-938-5660 and via fax at 703-242-8712.

Location: 311 Maple Ave W, Vienna, VA, 22180-4309
person
Provider Profile Details
NPI Number
1215933973
Provider Name
A Larry Miller
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
311 Maple Ave W, Vienna, VA, 22180-4309
Phone Number
703-938-5660
Fax Number
703-242-8712
Provider Enumeration Date
06/27/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0101026494 01 VA MEDICAL LICENCE
207KA0200X 01 TAXONOMY
institution
Provider Business Practice Location Address Details
Address
311 Maple Ave W
City
State
Zip
22180-4309
Phone Number
703-938-5660
Fax Number
703-242-8712
person
Provider Business Mailing Address Details
Address
311 Maple Ave W
City
State
Zip
22180-4309
Phone Number
703-938-5660
Fax Number
703-242-8712
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
0101026494 (Virginia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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