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General NPI Number Information
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NPI Number | 1922091073
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Entity Type | Individual
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Provider Name | TIM ALAN MILLER M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/24/2005
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 1 NOLTE DR
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City | KITTANNING
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State | PA
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Zip | 16201-7111
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Country | US
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Telephone | 412-230-8200
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Fax | 412-202-8638
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Provider Business Mailing Address
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Address Line | 75 REMITTANCE DR DEPT 8310
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City | CHICAGO
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State | IL
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Zip | 60675-8310
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Country | US
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Telephone | 412-230-8200
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Fax | 412-202-8638
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD043515E
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License Number State | PA
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