Individual
MR. WENDELL EDWARD MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
JOSEPH HARP CORRECTIONAL CENTER, 16161 MOFFET ROAD, LEXINGTON, OK 73051-0548
(405) 527-5593
Mailing address
JOSEPH HARP CORRECTIONAL CENTER / MED, P.O. BOX 548, LEXINGTON, OK 73051-0548
(405) 527-5593
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA414
OK
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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