Individual
JOHN H MIGLIACCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1401 S LYNN LN, IDABEL, OK 74745-6859
(580) 286-3278
Mailing address
1401 S LYNN LN, IDABEL, OK 74745-6859
(580) 286-3278
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12763
OK
Other
Enumeration date
05/17/2006
Last updated
10/21/2014
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