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Individual

STEVE MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPH

Contact information

Practice address
304 S BROADWAY AVE, HOBART, OK 73651-1846
(580) 726-2206
(580) 726-3511
Mailing address
304 S BROADWAY AVE, P.O. BOX 192, HOBART, OK 73651-1846

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8572
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3705300
NCPD NUMBER
OK
Enumeration date
12/26/2006
Last updated
07/09/2007
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