Organization
DR. OTHA MYLES & ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OTHA MYLES MD (MEDICAL DIRECTOR)
(443) 812-1889
Entity
Organization
Contact information
Practice address
3915 WATSON RD STE 203, SAINT LOUIS, MO 63109-1251
(314) 833-4001
Mailing address
9150 PAGE AVE, OVERLAND, MO 63114
(314) 449-9633
(314) 449-9634
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RI0200X
Infectious Disease Physician
—
—
Other
Enumeration date
06/06/2019
Last updated
01/11/2022
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