Provider Demographics
NPI:1487621140
Name:MCMILLIAN, DANNY JAMES (PT, DSC)
Entity type:Individual
Prefix:DR
First Name:DANNY
Middle Name:JAMES
Last Name:MCMILLIAN
Suffix:
Gender:M
Credentials:PT, DSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MEDDAC
Mailing Address - Street 2:CMR 437
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09267
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:MEDDAC
Practice Address - Street 2:CMR 437
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09267
Practice Address - Country:US
Practice Address - Phone:49621-730-4126
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-02
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPT2359171000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171000000XOther Service ProvidersMilitary Health Care Provider