Provider Demographics
NPI:1093071862
Name:MILES, JOSEPH TYE (END TECH)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:TYE
Last Name:MILES
Suffix:
Gender:M
Credentials:END TECH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7225 S 85TH EAST AVE
Mailing Address - Street 2:STE, 200
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-3157
Mailing Address - Country:US
Mailing Address - Phone:918-249-2697
Mailing Address - Fax:
Practice Address - Street 1:7225 S 85TH EAST AVE
Practice Address - Street 2:STE, 200
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-3157
Practice Address - Country:US
Practice Address - Phone:918-249-2697
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-05
Last Update Date:2012-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic