MEDICARE: MILES ODLE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1326970880
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MILES ODLE

Provider Business Mailing Address
First Line	:	116 GRAYSON CIR
Second Line	:
City	:	UNION CITY
State	:	TN
Zip	:	38261-5741
Country	:	US
Telephone Number	:	731-446-5751
Fax Number	:

Provider Business Practice Location Address
First Line	:	116 GRAYSON CIR
Second Line	:
City	:	UNION CITY
State	:	TN
Zip	:	38261-5741
Country	:	US
Telephone Number	:	731-446-5751
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

Similar Medicare Providers

1750360053 — PATRICK HEWITT PA-C
Practice Location Address:

5171 S COTTONWOOD ST STE 720
SALT LAKE CITY, UT
84107-5741

Practice Phone: 801-507-3400
Practice Fax:

1235461641 — YCO CLINTON INC
Practice Location Address:

120 S MADISON AVE
ELK CITY, OK
73644-5741

Practice Phone: 580-660-5573
Practice Fax:

1194047381 — MRS. OPHELIA N ROGERS MED LPC
Practice Location Address:

120 S MADISON AVE STE 24
ELK CITY, OK
73644-5741

Practice Phone: 866-926-6552
Practice Fax: 580-225-1130

1609199827 — JESSIE BAKER MED
Practice Location Address:

120 S MADISON AVE STE 24
ELK CITY, OK
73644-5741

Practice Phone: 580-302-0850
Practice Fax:

1295052918 — RAYMONA HUNTER
Practice Location Address:

120 S MADISON AVE STE 24
ELK CITY, OK
73644-5741

Practice Phone: 580-214-1725
Practice Fax: 580-225-1130

1205153822 — SHELBY MADDOX MED
Practice Location Address:

120 S MADISON AVE STE 24
ELK CITY, OK
73644-5741

Practice Phone: 580-821-1855
Practice Fax: 580-225-1130

Directions to “ MILES ODLE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.