Individual
JEFFREY W MUIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
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
Primary
SC003404L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011733390006
—
PA
Enumeration date
04/12/2006
Last updated
09/21/2007
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