| Mr Russell J Miller, PA C | |
|
1468 Trevorton Rd, Coal Township, PA 17866-7725 | |
| (570) 648-9769 | |
| (717) 692-2381 |
| Full Name | Mr Russell J Miller |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 1468 Trevorton Rd, Coal Township, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780646158 | NPI | - | NPPES |
| MA 001072 L | Other | PA | STATE LICENSE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | MA 001072 L (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Russell J Miller, PA C 1468 Trevorton Rd, Coal Township, PA 17866-7725 Ph: () - | Mr Russell J Miller, PA C 1468 Trevorton Rd, Coal Township, PA 17866-7725 Ph: (570) 648-9769 |
Diane D Wood, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4200 Hospital Rd, Coal Township, PA 17866 Phone: 570-644-2042 Fax: 570-644-4582 | |
Marybeth Goretsky, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4200 Hospital Rd, Coal Township, PA 17866 Phone: 570-644-4325 Fax: 570-644-4293 | |
Adam Creasy, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4200 Hospital Rd, Coal Township, PA 17866 Phone: 570-644-4222 | |
Margaret Nicole Barrett, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4203 Hospital Rd, Coal Township, PA 17866 Phone: 570-648-4010 Fax: 570-648-5076 | |
Miss Angela Millham, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4200 Hospital Rd, Coal Township, PA 17866 Phone: 570-644-4325 Fax: 570-644-4293 | |
Daniel Roland Longacre, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4200 Hospital Rd, Coal Township, PA 17866 Phone: 610-554-5173 | |
Nicholle Boguslaw, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1 Kelley Dr, Coal Township, PA 17866 Phone: 570-644-7890 |