Individual
MILES CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1402 S GRAND BLVD RM M260, SAINT LOUIS, MO 63104-1004
(314) 977-9851
Mailing address
1054 S KINGSHIGHWAY BLVD APT N, SAINT LOUIS, MO 63110-1562
(972) 984-9589
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/05/2024
Last updated
03/24/2026
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