Gordon Beryl Miller JR. D.O.

NPI 1053302232 - Family Medicine - 207Q00000X

NPI Details
NPI 1053302232
Gender Male
Enumeration Date 11/04/2005
Last Updated 10/05/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
1211 FORGE ROAD
SUITE 300
CARLISLE PA, 17013, US
Phone (717) 218-3920
Fax (717) 218-3921
Business Location
205 GRANDVIEW AVE
SUITE 210
CAMP HILL PA, 17011-1708, US
Phone
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Pennsylvania
License Number OS013018
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According to our database, Dr. Gordon Beryl Miller JR. D.O. NPI is 1053302232, taxonomy code is 207Q00000X and license number is OS013018, license state is located at Pennsylvania. Gordon Beryl Miller JR. D.O. physically located at 1211 Forge Road, Carlisle PA, 17013. NPI Number Gordon Beryl Miller JR. D.O. has the Individual type.

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1053302232 NPI number is provided on an as is basis without warranty of any kind. 1053302232 is maintained by the National Plan & Provider Enumeration System. The contents of Gordon Beryl Miller JR. D.O. are for informational purposes only.