MEDICARE: DR. RICHARD CLAYTON MILLER M.D.

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	207V00000X	Obstetrics & Gynecology Physician	MD015046-E	PA

General Provider Information

NPI Number	:	1548269020
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD CLAYTON MILLER M.D.

Provider Business Mailing Address
First Line	:	3435 WINCHESTER RD
Second Line	:
City	:	ALLENTOWN
State	:	PA
Zip	:	18104-2268
Country	:	US
Telephone Number	:	610-861-8080
Fax Number	:

Provider Business Practice Location Address
First Line	:	1097 N CHURCH ST
Second Line	:
City	:	HAZLE TOWNSHIP
State	:	PA
Zip	:	18202
Country	:	US
Telephone Number	:	610-861-8080
Fax Number	:

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

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	09/07/2018

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