Miles Henson

NPI #1588245294 in Eagle, Colorado

Provider Information

NPI Number: 1588245294
Entity Type: Individual
Name: Miles Henson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Enumeration Date: Apr 15, 2021
Last Updated: May 13, 2022

Practice Location

Address: 377 SYLVAN LAKE RD STE 210
City: Eagle
State: Colorado
ZIP Code: 81631-6779
Phone: (970) 926-6340

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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