Individual
GREGORY JOHN MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-3605
Mailing address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-3605
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
223442
AZ
367500000X
Certified Registered Nurse Anesthetist
95002261
CA
Other
Enumeration date
08/11/2023
Last updated
10/06/2024
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