Organization
DEBRA T MILLER MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBRA T MILLER MD (OWNER)
(570) 824-8151
Entity
Organization
Contact information
Practice address
220 S RIVER ST, PLAINS, PA 18705-1137
(570) 824-8151
Mailing address
220 S RIVER ST, PLAINS, PA 18705-1137
(570) 824-8151
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD034590E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215082656
INDIVIDUAL NPI #
PA
Enumeration date
10/18/2007
Last updated
10/18/2007
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