Individual
JOEL P MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
335 BRIGHTON AVE, PORTLAND, ME 04102-2363
(207) 662-8111
(207) 662-8133
Mailing address
190 RIVERSIDE ST, SUITE 6B, PORTLAND, ME 04103-1073
(207) 661-2093
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
018645
NY
363A00000X
Physician Assistant
Primary
PA1677
ME
Other
Enumeration date
07/23/2015
Last updated
05/12/2017
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