Individual
JASON KEITH MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
11610 N 137TH EAST AVE, COLLINSVILLE, OK 74021-3601
(918) 272-2247
(918) 272-6185
Mailing address
6600 S YALE AVE STE 1400, TULSA, OK 74136-3331
(888) 247-0125
(918) 502-8210
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5412
OK
Other
Enumeration date
04/11/2012
Last updated
03/21/2023
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