Individual
CLARKE THEODORE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4800 FRIENDSHIP AVE, PITTSBURGH, PA 15224-1722
(412) 578-5442
(412) 578-1144
Mailing address
4800 FRIENDSHIP AVE, PITTSBURGH, PA 15224-1722
(412) 578-5442
(412) 578-1144
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD015465E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006814220011
—
PA
05
—
2747502
—
OH
05
—
3810008854
—
WV
Enumeration date
09/15/2005
Last updated
01/23/2013
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