person
Mr. Russell J Miller, PAC
Medical Physician Assistant in Coal Township, Pennsylvania
NPI 1780646158

Russell J Miller is a Medical Physician Assistant based in Coal Township, PA and is specialized in Medical. Russell J Miller practices in Coal Township, PA and has the professional credentials of PAC. The NPI Number for Russell J Miller is 1780646158 and holds a License No. MA 001072 L (Pennsylvania).

The current practice location address for Russell J Miller is 1468 Trevorton Rd, Coal Township, PA and can be reached out via phone at 570-648-9769 and via fax at 717-692-2381.

Location: 1468 Trevorton Rd, Coal Township, PA, 17866-7725
person
Provider Profile Details
NPI Number
1780646158
Provider Name
Russell J Miller
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
1468 Trevorton Rd, Coal Township, PA, 17866-7725
Phone Number
570-648-9769
Fax Number
717-692-2381
Provider Enumeration Date
04/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MA 001072 L 01 PA STATE LICENSE #
institution
Provider Business Practice Location Address Details
Address
1468 Trevorton Rd
City
State
Zip
17866-7725
Phone Number
570-648-9769
Fax Number
717-692-2381
person
Provider Business Mailing Address Details
Address
1468 Trevorton Rd
City
State
Zip
17866-7725
Phone Number
570-648-9769
Fax Number
717-692-2381
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
MA 001072 L (Pennsylvania)
Definition
Definition to come...
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