MEDICARE: DR. THOMAS EUGENE MILES JR. M.D.

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	207R00000X	Internal Medicine Physician	G38599	CA

General Provider Information

NPI Number	:	1417939505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS EUGENE MILES JR. M.D.

Provider Business Mailing Address
First Line	:	301 W HUNTINGTON DR
Second Line	:
City	:	ARCADIA
State	:	CA
Zip	:	91007-3462
Country	:	US
Telephone Number	:	626-445-1595
Fax Number	:	626-445-6182

Provider Business Practice Location Address
First Line	:	301 W HUNTINGTON DR
Second Line	:
City	:	ARCADIA
State	:	CA
Zip	:	91007-3462
Country	:	US
Telephone Number	:	626-445-1595
Fax Number	:	626-445-6182

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

Provider Enumeration Date	:	11/15/2005
Last Update Date	:	07/08/2007

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