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Individual

MR. DANIEL E MILES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
262 ANACONDA ST BLDG 262, SAN DIEGO, CA 92155-5126
(619) 537-3630
Mailing address
262 ANACONDA ST BLDG 262, SAN DIEGO, CA 92155-5126

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1146839

Other

Enumeration date
08/15/2017
Last updated
09/02/2024
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