Organization
MILES EYE CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM B MILES MD (PRESIDENT)
(928) 368-3125
Entity
Organization
Contact information
Practice address
1951 S WHITE MOUNTAIN RD, 1001, SHOW LOW, AZ 85901-7322
(928) 535-6667
(928) 535-5561
Mailing address
PO BOX 969, OVERGAARD, AZ 85933-0969
(928) 535-6667
(928) 535-5561
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
37479
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
690869
—
AZ
01
—
Z131848
MEDICARE PTAN
AZ
Enumeration date
07/20/2009
Last updated
10/06/2011
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