Individual
LINDA M MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
318 ABALONE LOOP, MESCALERO, NM 88340-0210
(505) 464-4441
(505) 464-3877
Mailing address
PO BOX 210, 318 ABALONE LOOP, MESCALERO, NM 88340-0210
(505) 464-4441
(505) 464-3877
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
9601005
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H2347
—
NM
Enumeration date
12/04/2006
Last updated
07/08/2007
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