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Individual

MR. THOMAS LEE MILLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT

Contact information

Practice address
3106 NW ARLINGTON AVE, LAWTON, OK 73505-6123
(580) 250-4278
Mailing address
30 NW PECAN VALLEY DR, LAWTON, OK 73505-9640
(940) 631-3855

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1203
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1203
LICENSE
OK
Enumeration date
07/01/2005
Last updated
01/08/2010
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