Individual provider · Type 1 NPI

Stephen Wayne Miller, PA-C

Medical Physician Assistant · Portland, ME

NPI number 1124143359 Active

Practice location

50 Sewall St, Suite 301
Portland, ME 04102-2645

Fax (207) 780-6320

Mailing address

17 Hidden Creek Dr
Scarborough, ME 04074-8451

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA-042 (ME)

Medical Physician Assistant: Definition to come...

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About NPI 1124143359

Stephen Wayne Miller, PA-C's National Provider Identifier is 1124143359, issued on Mar 20, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Portland, ME. The record was last updated on May 10, 2010.