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Jordan Benner Miller, MD
Student in an Organized Health Care Education/Training Program in Allentown, Pennsylvania
NPI 1972128049

Jordan Benner Miller is a Student in an Organized Health Care Education/Training Program based in Allentown, PA. Jordan Benner Miller practices in Allentown, PA and has the professional credentials of MD. The NPI Number for Jordan Benner Miller is 1972128049 and holds a License No. MT221565 (Pennsylvania).

The current practice location address for Jordan Benner Miller is 1200 S Cedar Crest Blvd, Allentown, PA and can be reached out via phone at 610-402-8000.

Location: 1200 S Cedar Crest Blvd, Allentown, PA, 18103-6202
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972128049
Provider Name
Jordan Benner Miller
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1200 S Cedar Crest Blvd, Allentown, PA, 18103-6202
Phone Number
610-402-8000
Fax Number
Provider Enumeration Date
06/14/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1200 S Cedar Crest Blvd
City
Allentown
State
Pennsylvania
Zip
18103-6202
Phone Number
610-402-8000
Fax Number
person
Provider Business Mailing Address Details
Address
1200 S Cedar Crest Blvd
City
Allentown
State
Pennsylvania
Zip
18103-6202
Phone Number
610-402-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
MT221565 (Pennsylvania)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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