Individual
AMANDA JO MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1102 E 2ND ST, CUSHING, OK 74023-4139
(918) 225-3006
(918) 225-0894
Mailing address
1102 E 2ND ST, CUSHING, OK 74023-4139
(918) 225-3006
(918) 225-0894
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
29120
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200525990B
—
OK
Enumeration date
04/23/2012
Last updated
01/23/2017
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