Miles, Joan D
Miles, Joan D is an individual health care provider with primary practice located at 5171 S. Cottonwood St, Ste 610 Building 1, Suite 610, Murray UT 84107-8410. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgical Oncology is her primary health care specialty. Miles, Joan D can be contacted via phone (801) 507-3630.Contact Information
Primary practice address
5171 S. Cottonwood St, Ste 610 Building 1, Suite 610
Murray UT 84107-8410
Phone: (801) 507-3630
Fax: (801) 507-3898
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 9005425-1205 | Utah |
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | 9005425-1205 | Utah |
Profile Details
| NPI number | 1376764282 |
|---|---|
| LBN Legal business name | Miles, Joan D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2007 |
| Last updated | Apr 14th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376764282 | NPPES |
| Washington | MEDICAID | 1376764282 | |
| Washington | Other | 0294913 |
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