Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | DS021171L | PA |
Y | 213EG0000X | General Practice | DS021171L | PA |
NPI | 1003098955 |
---|---|
Provider Name | Dr. Patricia S Miller |
First Address | Turbotville, PA 17772 |
Second Address | Turbotville, PA 17772 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/12/2007 |
Last Update Date | 03/12/2007 |