Roberta L Millard
Internist Sports Medicine Adult Reconstructive Orthopaedic Surgeon
1850 E Park Ave Ste 112
State College
, Pennsylvania 16803-6706
Roberta L Millard
Internist Sports Medicine Adult Reconstructive Orthopaedic Surgeon
1850 E Park Ave Ste 112
State College
, Pennsylvania 16803-6706
(800) 243-1455
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About
Features
Specialties
- Internist
- Adult Reconstructive Orthopaedic Surgeon
- Sports Medicine
Languages spoken
- English
Location
First Address
- Roberta L Millard
- Po Box 858 Mc A410
- Hershey, PA
- Zip : 17033-0858
- Phone : (800) 243-1455
Second Address
- Roberta L Millard
- 1850 E Park Ave Ste 112
- State College, PA
- Zip : 16803-6706
- Fax : (814) 863-7803
- Phone : (800) 243-1455
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | MD043808E | PA |
| N | 111NI0900X | Internist | MD043808E | PA |
| Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | MD043808E | PA |
| N | 2081S0010X | Sports Medicine | MD043808E | PA |
| N | 213ES0000X | Sports Medicine | MD043808E | PA |
National Provider Identifier
| NPI | 1326002254 |
|---|---|
| Provider Name | Roberta L Millard |
| First Address | Hershey, PA 17033-0858 |
| Second Address | State College, PA 16803-6706 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/04/2006 |
| Last Update Date | 06/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| E71356 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.