Miles, Mark R
Miles, Mark R is an individual health care provider with primary practice located at 1400 29Th St S Ste 101 , Great Falls MT 59405-5316. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Miles, Mark R can be contacted via phone (406) 761-7924.Contact Information
Primary practice address
1400 29Th St S Ste 101
Great Falls MT 59405-5316
Phone: (406) 761-7924
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5161 | Montana |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 6498 | Alaska |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 5161 | Montana |
Profile Details
| NPI number | 1598792384 |
|---|---|
| LBN Legal business name | Miles, Mark R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2006 |
| Last updated | Mar 7th, 2023 - about 2 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 | 1598792384 | NPPES |
| Montana | MEDICAID | 0094263 | |
| Montana | MEDICAID | MD0540 |
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