Individual provider · Type 1 NPI
Mark Louis Miller, DPM
Foot & Ankle Surgery Podiatrist · Mc Lean, VA
NPI number
1124191333
Active
Practice location
8008 Westpark Dr, Kaiser Permanente Tysons Corner Medical Center
Mc Lean, VA 22102-3109
Mailing address
2101 E Jefferson St, Kaiser Permanente Medicare Enrollment
Rockville, MD 20852-4908
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 0103000673 (VA) |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 00610 (MD) |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO361 (DC) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1124191333
Mark Louis Miller, DPM's National Provider Identifier is 1124191333, issued on Nov 16, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Mc Lean, VA. The record was last updated on Dec 6, 2012.