Timothy Miller, PA-C
Physician Assistant in Bedford, NH. Individual provider (NPI-1).
NPI number1306200423
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1306200423
- Entity type
- Individual (NPI-1)
- Name
- Mr. Timothy Miller
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 6, 2016
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 1268 | NH | Yes |
| 363AS0400X | Physician Assistant, Surgical | 1268 | NH | |
| 363A00000X | Physician Assistant | PA5793 | MA |
Practice location
4 Hawthorne DrBedford, NH 03110-6983
Phone 603-472-8888 · Fax 603-472-9090
Mailing address
4 Hawthorne DrBedford, NH 03110-6983
Phone 603-472-8888 · Fax 603-472-9090
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