Wade Miller, DC | |
365 W 1550 N Ste D, Layton, UT 84041-2279 | |
(801) 614-0550 | |
Not Available |
Full Name | Wade Miller |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 365 W 1550 N Ste D, Layton, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720806516 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 13615884-1202 (Utah) | Primary |
Provider Name | Shon James Goulding Dc Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1033372990 PECOS PAC ID: 8123191525 Enrollment ID: O20080717000748 |
Mailing Address | Practice Location Address |
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Wade Miller, DC 365 W 1550 N Ste D, Layton, UT 84041-2279 Ph: (801) 614-0550 | Wade Miller, DC 365 W 1550 N Ste D, Layton, UT 84041-2279 Ph: (801) 614-0550 |
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