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Individual

DOUGLAS R MILES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
2626 ALEXANDRIA PIKE, HIGHLAND HEIGHTS, KY 41076-1530
(869) 781-4111
(859) 441-5214
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 781-4111
(859) 441-5214

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22224
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0105666
OH
01
080092532
RAILROAD MEDICARE
KY
05
64222243
KY
01
P00873401
RAILROAD MEDICARE
KY
Enumeration date
06/16/2006
Last updated
04/22/2020
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