Organization Name: | DAVID K MILLER MD PC |
NPI Number: | 1497986335 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID K MILLER (PRESIDENT) |
Mailing Address: | 15905 E Oklahoma St Tulsa |
State: | OK US |
Postal Code: | 741162408 |
Phone Number: | 5802239355 |
Fax Number: | |
NPI Enumeration Date: | 07/27/2009 |
NPI Last Update Date: | 04/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 23886 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |