Individual
DR. EUAN MURRAY MCMILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4320 SAINT GREGORY DR, OKLAHOMA CITY, OK 73120-8332
(405) 752-1800
Mailing address
4320 SAINT GREGORY DR, OKLAHOMA CITY, OK 73120-8332
(405) 752-1800
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
12875
OK
207ND0900X
Dermatopathology Physician
12875
OK
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
12875
OK
207NP0225X
Pediatric Dermatology Physician
12875
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070001248
RAILROAD MEDICARE
—
01
—
37D0471394
C.L.I.A.
OK
01
—
731248896-001
BLUE CROSS BLUE SHIELD
OK
Enumeration date
07/12/2005
Last updated
10/05/2009
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