Individual
LANDON MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1120 S UTICA AVE, TULSA, OK 74104-4012
(918) 579-1000
Mailing address
1415 W 78TH ST APT 1122, TULSA, OK 74132-4630
(405) 550-2929
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
92920
OK
Other
Enumeration date
09/07/2017
Last updated
09/07/2017
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