Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | A119423 | CA |
Y | 111NI0900X | Internist | A119423 | CA |
N | 207RH0002X | Hospice and Palliative Medicine | DR.0060598 | CO |
NPI | 1174849962 |
---|---|
Provider Name | Dr. Sondra Lynn Miles |
First Address | Loveland, CO 80537-2921 |
Second Address | Greeley, CO 80631 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2010 |
Last Update Date | 15/09/2020 |