Organization
WAYNE R MILLER MD
Active
Other names
Miller Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE R MILLER MD (OWNER)
(570) 644-5050
Entity
Organization
Contact information
Practice address
255 W SPRUCE ST, SHAMOKIN, PA 17872-5811
(570) 644-5050
(570) 644-2378
Mailing address
255 W SPRUCE ST, SHAMOKIN, PA 17872-5811
(570) 644-5050
(570) 644-2378
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
MD042431L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015644200005
—
PA
Enumeration date
01/02/2007
Last updated
01/09/2009
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