Individual provider · Type 1 NPI

Russell J. Miller, PA C

Medical Physician Assistant · Coal Township, PA

NPI number 1780646158 Active

Practice location

1468 Trevorton Rd
Coal Township, PA 17866-7725

Fax (717) 692-2381

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA 001072 L (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1780646158

Russell J. Miller, PA C's National Provider Identifier is 1780646158, issued on Apr 3, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Coal Township, PA. The record was last updated on Jun 30, 2016.