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Individual

ZACHARY THOMAS MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
4075 E MARKET ST, YORK, PA 17402-5123
(717) 244-8504
Mailing address
4075 E MARKET ST, YORK, PA 17402-5123
(717) 244-8504

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA061992
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
31134791
DRIVER'S LICENSE NUMBER
PA
Enumeration date
12/08/2020
Last updated
04/20/2022
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