Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | DC27646 | CA |
NPI | 1235311705 |
---|---|
Provider Name | Dr. Miles P. Suarez |
First Address | Bakersfield, CA 93301-1845 |
Second Address | Bakersfield, CA 93301-1845 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/11/2007 |
Last Update Date | 27/11/2007 |