Individual
JUSTIN LOGAN MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 TYLER DR, HANOVER, PA 17331-8072
(276) 698-4414
Mailing address
101 TYLER DR, HANOVER, PA 17331-8072
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP034214
PA
Other
Enumeration date
12/18/2025
Last updated
12/18/2025
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