Organization
COMMUNITY MEDICAL ASSOCIATES, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL A. MILLER M.D. (OWNER/PRACTICE MANAGER)
(330) 799-8752
Entity
Organization
Contact information
Practice address
1450 S CANFIELD NILES RD, YOUNGSTOWN, OH 44515
(330) 799-8752
(330) 799-8754
Mailing address
1450 S CANFIELD NILES RD, YOUNGSTOWN, OH 44515
(330) 799-8752
(330) 799-8754
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
OH
207R00000X
Internal Medicine Physician
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000179839
ANTHEM GROUP NUMBER
OH
05
—
2588203
—
OH
Enumeration date
01/30/2007
Last updated
04/28/2023
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