# THOMAS PAUL MILES MD A MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801196779
- **Authorized official:** THOMAS PAUL MILES M.D. (OWNER/PRESIDENT)
- **Authorized official phone:** (707) 473-2840

## Contact information

- **Practice address:** 1310 PRENTICE DR STE G, HEALDSBURG, CA 95448-5005
- **Practice address phone:** (707) 473-2840
- **Practice address fax:** (707) 433-6184
- **Mailing address:** 1310 PRENTICE DR STE G, HEALDSBURG, CA 95448-5005
- **Mailing address phone:** (707) 473-2840
- **Mailing address fax:** (707) 433-6184

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | G217290 | CA | Yes |

## Other

- **Enumeration date:** 10/26/2010
- **Last updated:** 10/26/2010