Individual
MYLES COX SIBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
377 SYLVAN LAKE RD STE 210, EAGLE, CO 81631-6779
(970) 926-6340
(970) 926-6348
Mailing address
PO BOX 4330, AVON, CO 81620-4330
(970) 926-6340
(970) 926-6348
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA.0006348
CO
363A00000X
Physician Assistant
Primary
PA60905204
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619495033
—
WA
Enumeration date
09/06/2017
Last updated
10/22/2020
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