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Individual

MILES RUSSELL DAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4515 MARSHA SHARP FWY, LUBBOCK, TX 79407-2520
(806) 744-7223
(806) 740-3325
Mailing address
2804 N LOOP 289, LUBBOCK, TX 79415-1410
(806) 744-7223
(806) 740-3325

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
J6400
TX
208VP0014X
Interventional Pain Medicine Physician
Primary
J6400
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100153300A
OK
01
111392100
FIRSTCARE COMMERCIAL
TX
05
111392101
TX
05
132763702
TX
05
132763703
TX
01
202011568
PRESBYETERIAN COMMERCIAL
NM
05
202011568
NM
01
82687Z
HMO BLUE
TX
01
87171G
BC BS
TX
05
X2475
NM
Enumeration date
04/05/2006
Last updated
11/10/2021
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