Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | DS041182 | PA |
Y | 213EG0000X | General Practice | DS041182 | PA |
NPI | 1003263690 |
---|---|
Provider Name | Rachael Miller |
First Address | Camp Hill, PA 17011 |
Second Address | Camp Hill, PA 17011-2250 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2016 |
Last Update Date | 06/02/2022 |