National Provider Identifier
Miles Dustin Sumner, PA-C
Miles Dustin Sumner, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Depew, NY and a listed phone number of (716) 668-7051.
Profile Overview
- NPI
- 1881939106
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- November 28, 2012
- Last Updated
- December 06, 2016
Practice Location
- 3332 Walden Ave Ste 110
- Depew, NY 14043-2400
Phone: (716) 668-7051
Mailing Address
- 3761 Colin Ct
- North Tonawanda, NY 14120-3601
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1881939106
- Entity Type
- Individual
- Last Name
- Sumner
- First Name
- Miles
- Middle Name
- Dustin
- Name Prefix
- Mr.
- Credential
- PA-C
- Mailing Street Address
- 3761 Colin Ct
- Mailing City
- North Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14120-3601
- Mailing Country
- US
- Mailing Phone
- (716) 491-9426
- Practice Street Address
- 3332 Walden Ave Ste 110
- Practice City
- Depew
- Practice State
- NY
- Practice ZIP Code
- 14043-2400
- Practice Country
- US
- Practice Phone
- (716) 668-7051
- Practice Fax
- (716) 668-7069
- Enumeration Date
- November 28, 2012
- Last Updated
- December 06, 2016
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)