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Individual

DR. PATRICIA MILLER-CANFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5206 N STATE ROAD 157, BLOOMFIELD, IN 47424-6557
(937) 206-4576
Mailing address
PO BOX 897, MORGANTOWN, WV 26507-0897
(304) 293-7401
(304) 293-6963

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
20857
WV
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
01066593A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3003050000
WV
Enumeration date
02/22/2006
Last updated
03/09/2021
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