| Doctor Name: | MILES ELLIS PETERSON |
| NPI Number: | 1376510313 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | HA2555 |
| Business Practice Address: | 8283 Grove Ave #104 Rancho Cucamonga, CA - 91730 |
| Business Phone Number: | 9099209906 |
| Business Fax Number: | 9099204151 |
| Mailing Address: | 8283 Grove Ave, #104 RANCHO CUCAMONGA |
| State: | CA |
| Postal Code: | 91730 |
| Phone Number: | 9099209906 |
| Fax Number: | 9099204151 |
| NPI Enumeration Date: | 03/08/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 237600000X |
| License Number: | HA2555 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Audiologist-Hearing Aid Fitter |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual |