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Individual

DAVID J MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
3500 HEALTHPLEX PKWY STE 200, NORMAN, OK 73072-9801
(405) 515-2288
(405) 307-5715
Mailing address
3500 HEALTHPLEX PKWY STE 200, NORMAN, OK 73072-9801
(405) 515-2222
(405) 515-2288

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
3039
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100136920A
OK
01
300522262
MEDICARE GROUP PIN
OK
Enumeration date
11/08/2006
Last updated
07/16/2021
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