person
Mark Herman Miller, DC
Chiropractor in Fairfax, Virginia
NPI 1811192313

Mark Herman Miller is a Chiropractor based in Fairfax, VA. Mark Herman Miller practices in Fairfax, VA and has the professional credentials of DC. The NPI Number for Mark Herman Miller is 1811192313 and holds a License No. 0104001118 (Virginia).

The current practice location address for Mark Herman Miller is 12011 Lee Jackson Hwy, Fairfax, VA and can be reached out via phone at 703-352-0706 and via fax at 703-352-6954.

Location: 12011 Lee Jackson Hwy, Fairfax, VA, 22033
person
Provider Profile Details
NPI Number
1811192313
Provider Name
Mark Herman Miller
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
12011 Lee Jackson Hwy, Fairfax, VA, 22033
Phone Number
703-352-0706
Fax Number
703-352-6954
Provider Enumeration Date
06/15/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
44280001 01 MD BCBS
44280001 01 DC BCBS
institution
Provider Business Practice Location Address Details
Address
12011 Lee Jackson Hwy
City
State
Zip
22033
Phone Number
703-352-0706
Fax Number
703-352-6954
person
Provider Business Mailing Address Details
Address
12011 Lee Jackson Hwy
City
State
Zip
22033
Phone Number
703-352-0706
Fax Number
703-352-6954
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
0104001118 (Virginia)
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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