MEDICARE: DR. DARLA R MILLER DPM

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	213ES0103X	Foot & Ankle Surgery Podiatrist	SC004004L	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	828649WK6	OTHER	PA	MEDICARE ID

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427032382
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DARLA R MILLER DPM

Provider Business Mailing Address
First Line	:	3120 N OLD TRL STE A
Second Line	:
City	:	SHAMOKIN DAM
State	:	PA
Zip	:	17876-9428
Country	:	US
Telephone Number	:	570-374-3668
Fax Number	:	570-374-7306

Provider Business Practice Location Address
First Line	:	3120 N OLD TRL STE A
Second Line	:
City	:	SHAMOKIN DAM
State	:	PA
Zip	:	17876-9428
Country	:	US
Telephone Number	:	570-374-3668
Fax Number	:	570-374-7306

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

Provider Enumeration Date	:	12/05/2005
Last Update Date	:	06/22/2023

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Directions to “ DR. DARLA R MILLER DPM” Practice Location

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