Individual
PAUL EDWARD MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
288 E 15TH AVE, COLUMBUS, OH 43201-1902
(440) 382-2122
Mailing address
4741 W 229TH ST, FAIRVIEW PARK, OH 44126-2440
(440) 382-2122
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT006605
OH
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
07/26/2019
Last updated
06/02/2022
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