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Individual

WILLIAM B MILES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1100 N BROAD ST STE B, GLOBE, AZ 85501-2700
(928) 425-0322
(928) 425-5620
Mailing address
1100 N BROAD ST, STE B, GLOBE, AZ 85501-2700
(928) 425-0322
(928) 425-5620

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
23360
NE
207W00000X
Ophthalmology Physician
37479
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
47054533500
NE
05
690869
AZ
Enumeration date
07/28/2005
Last updated
03/15/2021
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