Marissa Anne Miller, PA

NPI #1093480758 in Lonoke, Arkansas

Provider Information

NPI Number: 1093480758
Entity Type: Individual
Name: Marissa Anne Miller, PA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Aug 13, 2021
Last Updated: Aug 23, 2021

Practice Location

Address: 1010 N CENTER ST
City: Lonoke
State: Arkansas
ZIP Code: 72086-2005
Phone: (501) 438-8075

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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