Individual
DR. GORDON BERYL MILLER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1211 FORGE ROAD, SUITE 300, CARLISLE, PA 17013
(717) 218-3920
(717) 218-3921
Mailing address
205 GRANDVIEW AVE, SUITE 210, CAMP HILL, PA 17011-1708
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS013018
PA
Other
Enumeration date
11/04/2005
Last updated
10/05/2012
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