NPI 1003013244

James D. Mickle Jr. MD

Organisation Clinic/Center Boyertown, PA

Practice location

Address: 137 Montgomery Ave Suite 203, Boyertown, PA 19512-1300
Phone: (610) 369-2050
Fax: (610) 369-2710

Authorised official

Name: James D Mickle
Title: Owner
Phone: (610) 369-2050

Registered specialties

Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261Q00000X Licence MD016977E (PA)

Other Clinic/Center providers in Pennsylvania →

Registry record

NPI: 1003013244
Entity type: Organization
NPI issued: 29 Jun 2007
Record last updated: 29 Jul 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.