Individual provider · Type 1 NPI

Russell James Miles, PA-C

Surgical Physician Assistant · Palo Alto, CA

NPI number 1871828533 Active

Practice location

875 Blake Wilbur Drive
Palo Alto, CA 94305

Call (650) 724-6480 Map

Fax (650) 724-7091

Mailing address

3941 San Dimas St, Ste 102
Bakersfield, CA 93301-5711

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA 19738 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1871828533

Russell James Miles, PA-C's National Provider Identifier is 1871828533, issued on Oct 13, 2009. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Palo Alto, CA. The record was last updated on Feb 24, 2016.