Individual
TONY MCMILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10861 S 94TH EAST AVE, TULSA, OK 74133-6282
(918) 312-7866
Mailing address
10861 S 94TH EAST AVE, TULSA, OK 74133-6282
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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