Individual
CHAD MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2820 NW 122ND ST, SUITE A, OKLAHOMA CITY, OK 73120-1709
(405) 749-6720
Mailing address
2820 NW 122ND ST, OKLAHOMA CITY, OK 73120-1709
(405) 749-6720
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
203
OK
Other
Enumeration date
05/26/2015
Last updated
05/26/2015
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