Individual
MILES MONROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1850 TOWN CENTER PKWY STE 303, RESTON, VA 20190-3300
(703) 810-5202
Mailing address
1586 MOORINGS DR # DR11B, RESTON, VA 20190-4257
(540) 848-1096
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
1156952
VA
363A00000X
Physician Assistant
Primary
0110006407
VA
Other
Enumeration date
09/11/2018
Last updated
03/28/2024
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