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Individual

TERRY L MILLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7333 E 121ST ST S, BIXBY, OK 74008-2654
(918) 403-7140
(918) 856-5392
Mailing address
7333 E 121ST ST S, BIXBY, OK 74008-2654
(918) 403-7140
(918) 856-5392

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28118
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
055782
BCBS
KS
01
100260
HPK
KS
05
100339130A
KS
01
11852
PHS
KS
01
12149401
MULTIPLAN
KS
01
16999
COVENTRY
KS
Enumeration date
06/27/2006
Last updated
04/02/2019
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