Organization
WAYNE B MILES MD PC
Active
Organization
WAYNE B MILES MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE B MILES (OWNER/OPERATOR)
(417) 887-1188
Entity
Organization
Contact information
Practice address
1200 E WOODHURST DR, BLDG K SUITE 300, SPRINGFIELD, MO 65804-4261
(417) 887-1188
(417) 887-1837
Mailing address
1200 E WOODHURST DR, BLDG K SUITE 300, SPRINGFIELD, MO 65804-4261
(417) 887-1188
(417) 887-1837
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
R5876
MO
Other
Enumeration date
02/05/2010
Last updated
02/05/2010
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