WAYNE B MILES MD PC
Osteopathic Medicine in Springfield, MO

License number
Missouri R5876
Category
Osteopathic Medicine
Type
Allergy & Immunology
Owner
Name: DR. WAYNE B MILES
Title: OWNER/OPERATOR
Phone: (417) 887-1188
Address
Address
1200 E Woodhurst Dr Bldg K SUITE 300, Springfield, MO 65804
National Provider ID: 1699007286
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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WAYNE B. MILES, M.D., PC

1200 E Woodhurst K-300, Springfield, MO 65804

Registration:
Apr 15, 1980
State ID:
P00219850
Business type:
Professional Corporation
Expiration:
Perpetual
Agent:
Wayne B. Miles,1200 E Woodhurst BLDG .K SUITE 300, Springfield, MO 65804 (Physical)

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