Marc Miller, RPSGT, RST, CCSH
Technician/Technologist in North Las Vegas, NV. Individual provider (NPI-1).
NPI number1639922313
StatusActive
Last updated in NPPESApr 10, 2024
Details
- NPI
- 1639922313
- Entity type
- Individual (NPI-1)
- Name
- Marc Miller
- Credential
- RPSGT, RST, CCSH
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 10, 2024
- Certification date
- Apr 9, 2024
- Last updated
- Apr 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156F00000X | Technician/Technologist | – | – | Yes |
Practice location
6900 N Pecos RdNorth Las Vegas, NV 89086-4400
Phone 702-791-9000
Mailing address
3921 Lost Miner CtLas Vegas, NV 89129-7658
Phone 716-946-9665
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