Organization
PHILIP B MINER JR MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERRY L WOLFENKOEHLER (BUS OFC MGR)
(405) 691-4703
Entity
Organization
Contact information
Practice address
1000 N LINCOLN BLVD STE 210, OKLAHOMA CITY, OK 73104-3252
(405) 271-4644
(405) 271-3296
Mailing address
1000 N LINCOLN BLVD STE 210, OKLAHOMA CITY, OK 73104-3252
(405) 271-4644
(405) 271-3296
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19647
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE9317
MC RR
OK
Enumeration date
09/27/2007
Last updated
09/27/2007
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