Individual
MILES HAMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
500 W 144TH AVE STE 220, WESTMINSTER, CO 80023-9328
(720) 227-0977
(303) 607-3473
Mailing address
10200 GRAND CENTRAL AVE STE 220, OWINGS MILLS, MD 21117-4366
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0007433
CO
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000209624
—
CO
Enumeration date
07/05/2022
Last updated
03/13/2025
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