Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | A073833 | CA |
N | 2086S0122X | Plastic and Reconstructive Surgery | A73833 | CA |
NPI | 1265460836 |
---|---|
Provider Name | Dr. Duncan Alexander Gn Miles |
First Address | Redlands, CA 92373-5980 |
Second Address | Redlands, CA 92373-5980 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2006 |
Last Update Date | 08/07/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A738330 | (05) | CA |
H41355 | (02) | |
H41355 | (02) | CA |