AMANDA MILLER DAVALA

PHILADELPHIA, PA
NPI1578944096
Former NameAMANDA KATHERINE MILLER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: PA  OS019791)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
(Licence: PA  OT016473)
Enumeration Date2015-06-10
Last Update Date2019-02-06
Business Address
AMANDA MILLER DAVALA D.O.
5501 OLD YORK RD
PHILADELPHIA, PA 19141-3018
Phone number: 215-456-3834
Mailing Address
AMANDA MILLER DAVALA D.O.
743 N 20TH ST UNIT 1
PHILADELPHIA, PA 19130-2003
Phone number: 215-622-4509