SearchMissouri237700000X

Douglas Wiles

NPI 1326225053 · on the registry since 2008

Practice

Address
1032 E Karsch Blvd
Farmington, MO 63640
Phone
(573) 701-9015
Fax
(573) 701-0103
Organisation at this address
Brad Mcmillin, Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
237700000X
237700000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-08-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri