Organization
MILLS FAMILY CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON RANDALL MILLS PHD (ADVISOR)
(918) 304-9608
Entity
Organization
Contact information
Practice address
108 W RANDOLPH AVE, ENID, OK 73701-4005
(580) 278-6804
(888) 498-4576
Mailing address
5821 W ORLANDO CIR, BROKEN ARROW, OK 74011-1153
(918) 304-9608
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/28/2022
Last updated
08/18/2023
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