Dr John William Miles Iii, MD | |
5525 Grossmont Center Dr, La Mesa, CA 91942-3009 | |
(619) 644-6609 | |
(619) 644-1208 |
Full Name | Dr John William Miles Iii |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 5525 Grossmont Center Dr, La Mesa, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518977727 | NPI | - | NPPES |
00G653950 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | G65395 (California) | Primary |
Entity Name | Sharp Rees-stealy Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285616177 PECOS PAC ID: 8628972759 Enrollment ID: O20031120000996 |
Mailing Address | Practice Location Address |
---|---|
Dr John William Miles Iii, MD 5525 Grossmont Center Dr, La Mesa, CA 91942-3009 Ph: (619) 644-6609 | Dr John William Miles Iii, MD 5525 Grossmont Center Dr, La Mesa, CA 91942-3009 Ph: (619) 644-6609 |
Dr. Thomas Francis Moyad, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 5565 Grossmont Center Drive, Bldg 3, Suite 156, La Mesa, CA 91942 Phone: 619-462-0900 Fax: 619-462-3584 | |
Andrew Eliot Yoo, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 5565 Grossmont Blvd, Building 3, Suite 256, La Mesa, CA 91942 Phone: 619-462-3131 Fax: 619-462-1731 | |
Dr. John Russell Lake, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 5565 Grossmont Center Dr, Bldg 3 Suite 256, La Mesa, CA 91942 Phone: 619-462-3131 Fax: 619-462-1731 | |
Dr. Ben Dubois, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5565 Grossmont Center Dr, Bldg 3 Suite 256, La Mesa, CA 91942 Phone: 619-462-3131 Fax: 619-462-1731 | |
Dr. Peter B Hanson, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5565 Grossmont Center Dr, Bldg 3 Suite 256, La Mesa, CA 91942 Phone: 619-462-3131 Fax: 619-462-1731 |