Individual
BERTIS THOMAS MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
600 CAISSON HILL ROAD ATTN: MCXX-CLD-QM (CREDENTIALS), IRWIN ARMY COMMUNITY HOSPITAL ATTN: MRS TERRY L. HILL, FORT RILEY, KS 66442-5037
(785) 239-7155
Mailing address
2304 SPAIN DRIVE, MANHATTAN, KS 66502
(785) 341-5340
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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