Individual
ANDREA JANAE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2900 S TELEPHONE RD STE 200, MOORE, OK 73160-2971
(405) 425-8100
(405) 425-8119
Mailing address
5300 N INDEPENDENCE AVE, SUITE 280, OKLAHOMA CITY, OK 73112-5556
(405) 425-8100
(405) 425-8119
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4102
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200118200A
—
OK
Enumeration date
06/06/2007
Last updated
04/12/2019
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