MEDICARE: DAWN M MILLS PAC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	MA002296L	PA

General Provider Information

NPI Number	:	1083860472
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAWN M MILLS PAC

Provider Business Mailing Address
First Line	:	95 S PARK ST
Second Line	:
City	:	MOUNT UNION
State	:	PA
Zip	:	17066-1334
Country	:	US
Telephone Number	:	814-542-8627
Fax Number	:	814-542-5444

Provider Business Practice Location Address
First Line	:	95 S PARK ST
Second Line	:
City	:	MOUNT UNION
State	:	PA
Zip	:	17066-1334
Country	:	US
Telephone Number	:	814-542-8627
Fax Number	:	814-542-5444

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2008
Last Update Date	:	06/06/2024

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