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Individual

JEFFREY A MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1109 SW 30TH CT STE A, MOORE, OK 73160-2887
(405) 703-0937
Mailing address
1109 SW 30TH CT STE A, MOORE, OK 73160-2887
(405) 703-0937
(888) 290-8567

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
25175
OK
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
25175
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200221030A
OK
Enumeration date
02/05/2007
Last updated
08/29/2025
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