Doctor Name: | MS. HEATHER A MIKLOS |
NPI Number: | 1033219241 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | MA052696 |
Business Practice Address: | 500 Medical Arts Bldg Suite 540 Kittanning, PA - 162017137 |
Business Phone Number: | 7245434942 |
Business Fax Number: | 7245438865 |
Mailing Address: | 500 Medical Arts Bldg, Suite 540 KITTANNING |
State: | PA |
Postal Code: | 162017137 |
Phone Number: | 7245434942 |
Fax Number: | 7245438865 |
NPI Enumeration Date: | 09/25/2006 |
NPI Last Update Date: | 01/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | MA052696 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |