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Individual

WILLIAM CHRIS MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPH

Contact information

Practice address
12320 N MUSTANG RD, YUKON, OK 73099-8166
(405) 373-1717
(405) 373-3954
Mailing address
4119 KOERNER RD, PIEDMONT, OK 73078-9684
(405) 373-3048

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9881
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9881
STATE BOARD OF PHEY
OK
Enumeration date
09/06/2006
Last updated
07/08/2007
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