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Individual

SHAWN SCARBERRY MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
19600 E ROSS ST, TAHLEQUAH, OK 74464-0545
(539) 234-4100
(539) 234-4101
Mailing address
19600 E ROSS ST, TAHLEQUAH, OK 74464-0545
(539) 234-4100
(539) 234-4101

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35863
OK
207Q00000X
Family Medicine Physician
E1452
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
132969001
AR
01
5K620
ARBCBS
AR
Enumeration date
04/25/2006
Last updated
07/15/2020
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