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Wallace Miller JR., MD
Diagnostic Radiology Physician in Philadelphia, Pennsylvania
NPI 1578591657

Wallace Miller JR. is a Diagnostic Radiology Physician based in Philadelphia, PA and is specialized in Diagnostic Radiology. Wallace Miller JR. practices in Philadelphia, PA and has the professional credentials of MD. The NPI Number for Wallace Miller JR. is 1578591657 and holds a License No. MD039219E (Pennsylvania).

The current practice location address for Wallace Miller JR. is 3400 Spruce St, Philadelphia, PA and can be reached out via phone at 215-662-3000 and via fax at 215-662-7011.

Location: 3400 Spruce St, Philadelphia, PA, 19104-4206
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578591657
Provider Name
Wallace Miller JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3400 Spruce St, Philadelphia, PA, 19104-4206
Phone Number
215-662-3000
Fax Number
215-662-7011
Provider Enumeration Date
06/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0012316660011 05 PA
institution
Provider Business Practice Location Address Details
Address
3400 Spruce St
City
Philadelphia
State
Pennsylvania
Zip
19104
Phone Number
215-662-3000
Fax Number
215-662-7011
person
Provider Business Mailing Address Details
Address
3400 Spruce St
City
Philadelphia
State
Pennsylvania
Zip
19104
Phone Number
215-662-3000
Fax Number
215-662-7011
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
MD039219E (Pennsylvania)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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