NPI 1164564639

Thomas James Miles, HEALTHSERVICESTECH

Practitioner Independent Duty Medical Technicians Saint Louis, MO

Practice location

Address: 1222 Spruce St Rm 2.102a, Saint Louis, MO 63103-2854
Phone: (314) 269-2471
Fax: (314) 269-2743
Mailing address: 208 Huntleigh Dr, Belleville, IL 62220-3039

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

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Registry record

NPI: 1164564639
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Feb 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.