Dr THEODORE ZACHARY MILLER is a male medical professional, specializing in Physician Assistant. He graduated in 2015.
BROAD MOUNTAIN EMERGENCY PHYSICIANS, PLLC
135 LAFAYETTE AVE
PALMERTON
PA
180711596
Tel: 6108261103
| Npi | 1447620695 |
| Pac Id | 7810207248 |
| Professional Enrollment Id | I20151113001546 |
| Last Name | MILLER |
| First Name | THEODORE |
| Middle Name | ZACHARY |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICIAN ASSISTANT |
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| Organization Legal Name | BROAD MOUNTAIN EMERGENCY PHYSICIANS, PLLC |
| Group Practice Pac Id | 3779710868 |
| Number Of Group Practice Members | 4 |
| Line 1 Street Address | 135 LAFAYETTE AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | PALMERTON |
| State | PA |
| Zip Code | 180711596 |
| Phone Number | 6108261103 |
| Hospital Affiliation Ccn 1 | 390194 |
| Hospital Affiliation Lbn 1 | BLUE MOUNTAIN HOSPITAL-GNADEN HUETTEN CAMPUS |
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| Professional Accepts Medicare Assignment | Y |
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