Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 7315 | AZ |
N | 111NR0400X | Rehabilitation Chiropractor | 4065 | AZ |
NPI | 1346390275 |
---|---|
Provider Name | Dr. Robert Scott Miner |
First Address | Tempe, AZ 85281-2845 |
Second Address | Tempe, AZ 85281-2845 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2007 |
Last Update Date | 13/06/2012 |