Provider Demographics
NPI:1912706276
Name:MILLER, DARECK ARMON (MEDICAL TRANSPORT)
Entity type:Individual
Prefix:
First Name:DARECK
Middle Name:ARMON
Last Name:MILLER
Suffix:
Gender:
Credentials:MEDICAL TRANSPORT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1037 GREENHURST AVE NW
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24012-3901
Mailing Address - Country:US
Mailing Address - Phone:540-613-2624
Mailing Address - Fax:
Practice Address - Street 1:1037 GREENHURST AVE NW
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24012-3901
Practice Address - Country:US
Practice Address - Phone:540-613-2624
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver