Organization
JEFFREY W. MUIR DPM PC
Active
Organization
JEFFREY W. MUIR DPM PC
Active
Parent organization
JEFFREY W. MUIR DPM PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
JEFFREY W. MUIR DPM PC
Authorized official
DR. JEFFREY W MUIR D.P.M. (PODIATRIST)
(570) 586-0421
Entity
Organization
Contact information
Practice address
412 N. STATE ST., CLARKS SUMMIT, PA 18411-1062
(570) 586-0421
(570) 586-5634
Mailing address
412 N. STATE ST., CLARKS SUMMIT, PA 18411-1062
(570) 586-0421
(570) 586-5634
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
SC003404L
PA
213ES0131X
Foot Surgery Podiatrist
Primary
SC-003404-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011733390009
—
PA
Enumeration date
03/07/2007
Last updated
10/31/2012
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