Individual
DAVID W MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
503 S ASPEN, BROKEN ARROW, OK 74127-9020
(918) 286-6331
Mailing address
DEPT. 672, TULSA, OK 74182-0001
(866) 321-8433
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
20875
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100021790B
—
OK
Enumeration date
10/13/2005
Last updated
07/27/2010
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