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Individual

DR. HOWARD O. WILES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
13700 ST FRANCIS BLVD, SUITE 305, MIDLOTHIAN, VA 23114-3222
(804) 320-2483
(804) 419-1860
Mailing address
13700 ST FRANCIS BLVD, SUITE 305, MIDLOTHIAN, VA 23114-3222
(804) 320-2483
(804) 419-1860

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101045683
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000102406806
UNITED
05
006201393
VA
01
0864957
AETNA USHEALTH
01
11942
CARENET
01
160049269
RR MEDICARE
01
226120
ANTHEM
01
328079
MAMSI
01
3762619
CIGNA
01
51812
OPTIMA HEALTH
01
541941044002
TRICARE
01
6201393
VA PREMIER
01
94533
SOUTHERN HEALTH
01
C09633
GROUP PTAN
Enumeration date
01/17/2006
Last updated
07/02/2013
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