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NPI Code Detail

MEDICARE: MRS. CHELSEY JO MILLER PA-C

MEDICARE:  MRS. CHELSEY JO MILLER  PA-C
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
1363AM0700XMedical Physician Assistant002444IA
2363A00000XPhysician Assistant002444IA

General Provider Information

NPI Number : 1124452347
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHELSEY JO MILLER PA-C
Provider Business Mailing Address
First Line : 200 HAWKINS DR
Second Line :
City : IOWA CITY
State : IA
Zip : 52242-1009
Country : US
Telephone Number : 319-467-2000
Fax Number : 319-467-2814
Provider Business Practice Location Address
First Line : 920 E 2ND AVE STE 201A&B
Second Line :
City : CORALVILLE
State : IA
Zip : 52241-2219
Country : US
Telephone Number : 319-467-2000
Fax Number : 319-467-2814
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2013
Last Update Date : 04/05/2021

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Directions to “ MRS. CHELSEY JO MILLER PA-C” Practice Location

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