Individual
MARK R MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 29TH ST S STE 101, GREAT FALLS, MT 59405-5316
(406) 761-7924
Mailing address
1400 29TH ST S STE 101, GREAT FALLS, MT 59405-5316
(406) 761-7924
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5161
MT
207V00000X
Obstetrics & Gynecology Physician
Primary
5161
MT
207V00000X
Obstetrics & Gynecology Physician
6498
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0094263
—
MT
05
—
MD0540
—
AK
Enumeration date
06/27/2006
Last updated
12/09/2025
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