Provider Demographics
NPI:1164854758
Name:MUIR, SARA MARIE (PA)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:MARIE
Last Name:MUIR
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3400 SPRUCE ST
Mailing Address - Street 2:3 RHOADS
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-4238
Mailing Address - Country:US
Mailing Address - Phone:215-615-5858
Mailing Address - Fax:215-349-8144
Practice Address - Street 1:3400 SPRUCE ST
Practice Address - Street 2:3 RHOADS
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4238
Practice Address - Country:US
Practice Address - Phone:215-615-5858
Practice Address - Fax:215-349-8144
Is Sole Proprietor?:No
Enumeration Date:2013-08-06
Last Update Date:2018-11-20
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Provider Licenses
StateLicense IDTaxonomies
PAMA058162207R00000X, 363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine