Individual
DR. CHARLES WILLIAM MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 W BETHANY HOME RD, PHOENIX, AZ 85015-2443
(602) 249-0212
Mailing address
10287 E ACACIA DR, SCOTTSDALE, AZ 85255-8663
(480) 563-9315
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
20667
AZ
207P00000X
Emergency Medicine Physician
Primary
MD61360462
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119231
—
AZ
01
—
3981220
EVERCARE GROUP
AZ
01
—
453051001
GROUP HEALTH GROUP
AZ
01
—
860373636
HUMANA-GROUP #
AZ
01
—
AW1436
HEALTHNET GROUP
AZ
01
—
AZ0728670
BLUE CROSS BLUE SHIELD-GR
AZ
Enumeration date
11/07/2005
Last updated
10/12/2023
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