Provider Demographics
NPI:1629458740
Name:WEST-MILES, JEANNA DEL VECCHIO (DO)
Entity type:Individual
Prefix:DR
First Name:JEANNA
Middle Name:DEL VECCHIO
Last Name:WEST-MILES
Suffix:
Gender:F
Credentials:DO
Other - Prefix:MISS
Other - First Name:JEANNA
Other - Middle Name:MARLENE
Other - Last Name:DEL VECCHIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:SAN ANTONIO MILITARY MEDICAL CENTER
Mailing Address - Street 2:8551 ROGER BROOK DRIVE
Mailing Address - City:FORT SAM HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:78234
Mailing Address - Country:US
Mailing Address - Phone:210-916-9100
Mailing Address - Fax:
Practice Address - Street 1:BROOK ARMY MEDICAL CENTER
Practice Address - Street 2:3551 ROGER BROOK DRIVE
Practice Address - City:FORT SAM HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:78234
Practice Address - Country:US
Practice Address - Phone:210-916-9900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-03
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1615207LP2900X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine