Organization Name: | DARLA R. MILLER, DPM |
NPI Number: | 1225166234 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DARLA R. MILLER (OWNER) |
Mailing Address: | 1018 N Susquehanna Trail Selinsgrove |
State: | PA US |
Postal Code: | 17870 |
Phone Number: | 5703743668 |
Fax Number: | 5703747306 |
NPI Enumeration Date: | 03/01/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | SC004206R |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |