Provider Demographics
NPI:1659451946
Name:MILESKI, ROBERT A (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:A
Last Name:MILESKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9941 N 95TH ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4609
Mailing Address - Country:US
Mailing Address - Phone:602-277-1558
Mailing Address - Fax:602-266-6991
Practice Address - Street 1:9941 N 95TH ST
Practice Address - Street 2:SUITE 101
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4609
Practice Address - Country:US
Practice Address - Phone:602-277-1558
Practice Address - Fax:602-266-6991
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2016-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ24451207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ5065031OtherAETNA
AZ24451Medicaid
AZA20394930OtherBCBS
AZA20394930OtherBCBS
AZ5065031OtherAETNA
AZ0904400001Medicare NSC