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Organization

THOMAS PAUL MILES MD A MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS PAUL MILES M.D. (OWNER/PRESIDENT)
(707) 473-2840
Entity
Organization

Contact information

Practice address
1310 PRENTICE DR STE G, HEALDSBURG, CA 95448-5005
(707) 473-2840
(707) 433-6184
Mailing address
1310 PRENTICE DR STE G, HEALDSBURG, CA 95448-5005
(707) 473-2840
(707) 433-6184

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
G217290
CA

Other

Enumeration date
10/26/2010
Last updated
10/26/2010
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