Individual
DR. ADAM S MILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
352 GRIBBEL RD, WYNCOTE, PA 19095-1108
(215) 206-8526
Mailing address
809 GLENSIDE AVE, WYNCOTE, PA 19095-1220
(215) 887-1441
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG-001677
PA
Other
Enumeration date
04/10/2006
Last updated
08/01/2011
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