Miles, Russell James
Miles, Russell James is an sole proprietor health care provider with primary practice located at 875 Blake Wilbur Drive , Palo Alto CA 94305. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Miles, Russell James can be contacted via phone (650) 724-6480.Contact Information
Primary practice address
875 Blake Wilbur Drive
Palo Alto CA 94305
Phone: (650) 724-6480
Fax: (650) 724-7091
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA 19738 | California |
Profile Details
| NPI number | 1871828533 |
|---|---|
| LBN Legal business name | Miles, Russell James |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 13th, 2009 |
| Last updated | Feb 24th, 2016 - about 9 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.
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