Individual
MARK G MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3433 NW 56TH ST, STE 580, OKLAHOMA CITY, OK 73112-4420
(405) 917-3518
(405) 951-4361
Mailing address
820 W DANFORTH RD, # 133, EDMOND, OK 73003-5006
(405) 367-7625
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
18554
OK
208M00000X
Hospitalist Physician
Primary
18554
OK
Other
Enumeration date
06/08/2005
Last updated
01/05/2017
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