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General NPI Number Information
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NPI Number | 1639200413
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Entity Type | Organization
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Legal Business Name | JEFFREY W. MUIR DPM PC
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 10/31/2012
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Provider Practice Location Address
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Address Line | 412 N. STATE ST.
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City | CLARKS SUMMIT
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State | PA
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Zip | 18411-1062
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Country | US
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Telephone | 570-586-0421
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Fax | 570-586-5634
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Provider Business Mailing Address
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Address Line | 412 N. STATE ST.
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City | CLARKS SUMMIT
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State | PA
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Zip | 18411-1062
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Country | US
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Telephone | 570-586-0421
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Fax | 570-586-5634
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Authorized Official
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Title or Position | PODIATRIST
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Name | DR. JEFFREY W MUIR
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Credential | D.P.M.
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Telephone | 570-586-0421
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | SC003404L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | SC-003404-L
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License Number State | PA
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