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Dr. Alisa Anne Miller, DO
General Practice Physician in Lackland Afb, Texas
NPI 1922367242

Alisa Anne Miller is a General Practice Physician based in Alexandria, TX. Alisa Anne Miller practices in Lackland Afb, TX and has the professional credentials of DO. The NPI Number for Alisa Anne Miller is 1922367242 and holds a License No. 0102203712 (Texas).

The current practice location address for Alisa Anne Miller is 2200 Bergquist Dr., Lackland Afb, TX and can be reached out via phone at 210-292-7805 and via fax at 210-292-7868.

Location: 2200 Bergquist Dr., Lackland Afb, TX, 22314-4518
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922367242
Provider Name
Alisa Anne Miller
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
2200 Bergquist Dr., Lackland Afb, TX, 22314-4518
Phone Number
210-292-7805
Fax Number
210-292-7868
Provider Enumeration Date
05/07/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2200 Bergquist Dr.
City
Lackland Afb
State
Texas
Zip
78236-9908
Phone Number
210-292-7805
Fax Number
210-292-7868
person
Provider Business Mailing Address Details
Address
2200 Bergquist Dr.
City
Lackland Afb
State
Texas
Zip
78236-9908
Phone Number
210-292-7805
Fax Number
210-292-7868
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
0102203712 (Virginia)
Definition
Definition to come...
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