Provider Demographics
NPI:1336387828
Name:MILLER, PHILIP ATTILIO (DO)
Entity Type:Individual
Prefix:
First Name:PHILIP
Middle Name:ATTILIO
Last Name:MILLER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1061 N FRONT ST
Mailing Address - Street 2:
Mailing Address - City:PHILIPSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:16866-8257
Mailing Address - Country:US
Mailing Address - Phone:814-376-6200
Mailing Address - Fax:814-376-6215
Practice Address - Street 1:2520 GREEN TECH DR STE C
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16803-2300
Practice Address - Country:US
Practice Address - Phone:814-278-4898
Practice Address - Fax:814-231-2004
Is Sole Proprietor?:No
Enumeration Date:2009-01-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS014378204D00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2715421OtherHIGHMARK BCBS
PA246658V38Medicare PIN