Dr. Richard T Miner, D.C.
Chiropractor in Gualala, CA. Individual provider (NPI-1).
NPI number1174658298
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1174658298
- Entity type
- Individual (NPI-1)
- Name
- Dr. Richard T Miner
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 22, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | DC16750 | CA | Yes |
Practice location
38690 Pacific Dr.Suite 3
Gualala, CA 95445
Phone 707-884-1714
Mailing address
Po Box 40938690 Pacific Dr.
Gualala, CA 95445-0409
Phone 707-884-1714
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