Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NATHAN A MIRACLE, PA-C
ActiveNATHAN A MIRACLE, PA-C is a Surgical Physician Assistant healthcare provider located in OZARK, Missouri. NPI 1326386509 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · OZARK, MO
Registration Details
- NPI Number
- 1326386509
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 23, 2013 (13.592674395244 yrs)
- Last Updated
- Jul 19, 2018
- License
-
2013001193 (MO)
Practice Information
- Address
-
3050 E RIVER BLUFF BLVDOZARK, MO, 65721Browse MO providers · Browse ZIP 65721
- Phone
- 4178205610
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.