Individual
BLAKE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-S1
Contact information
Practice address
32 W WASHINGTON ST # 403, HAGERSTOWN, MD 21740-4884
(240) 527-2752
Mailing address
PO BOX 185, CORRIGANVILLE, MD 21524-0185
(301) 697-4599
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
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