Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | MD458606 | PA |
N | 2080P0207X | Pediatric Hematology-Oncologist | MD60834461 | WA |
NPI | 1114121456 |
---|---|
Provider Name | Nathan Edward Millard |
First Address | Murrysville, PA 15668-1954 |
Second Address | Murrysville, PA 15668-1954 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2007 |
Last Update Date | 28/01/2021 |