Provider Demographics
NPI:1235311705
Name:SUAREZ, MILES P (DC)
Entity Type:Individual
Prefix:DR
First Name:MILES
Middle Name:P
Last Name:SUAREZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2920 F ST
Mailing Address - Street 2:E-15
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-1845
Mailing Address - Country:US
Mailing Address - Phone:661-323-0711
Mailing Address - Fax:
Practice Address - Street 1:2920 F ST
Practice Address - Street 2:E-15
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-1845
Practice Address - Country:US
Practice Address - Phone:661-323-0711
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-27
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC27646111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation