Doctor Name: | LINDA M MILES |
NPI Number: | 1881752970 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 9601005 |
Business Practice Address: | 318 Abalone Loop Mescalero, NM - 883400210 |
Business Phone Number: | 5054644441 |
Business Fax Number: | 5054643877 |
Mailing Address: | Po Box 210, 318 Abalone Loop MESCALERO |
State: | NM |
Postal Code: | 883400210 |
Phone Number: | 5054644441 |
Fax Number: | 5054643877 |
NPI Enumeration Date: | 12/04/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 9601005 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |