Individual
BRETT MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12808 SW 54TH ST, MUSTANG, OK 73064-9008
(405) 568-9319
Mailing address
14400 BOGERT PKWY, OKLAHOMA CITY, OK 73134-2652
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
K994337021
OK
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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