Individual
MRS. DOLORES ANN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9600 ROOSEVELT BLVD, SUITE 202, PHILADELPHIA, PA 19115-3932
(215) 677-9870
(215) 677-0977
Mailing address
2647 BROWNSVILLE RD, LANGHORNE, PA 19053-3203
(267) 568-2245
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
MA050823
PA
363AM0700X
Medical Physician Assistant
Primary
OA000814
PA
Other
Enumeration date
03/13/2007
Last updated
03/05/2009
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