Individual
CHARLES PHILLIP MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
702 N GRAND ST, ENID, OK 73701-3221
(580) 234-3791
Mailing address
2214 N WASHINGTON ST, ENID, OK 73701-2109
(580) 234-3791
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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