MR. Miles Dustin Sumner, PA-C

NPI #1881939106 in Depew, New York

Provider Information

NPI Number: 1881939106
Entity Type: Individual
Name: MR. Miles Dustin Sumner, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 28, 2012
Last Updated: Dec 6, 2016

Practice Location

Address: 3332 WALDEN AVE STE 110
City: Depew
State: New York
ZIP Code: 14043-2400
Phone: (716) 668-7051

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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