Organization
MILESTONE PEDIATRIC CARE, PLLC
Active
Organization
MILESTONE PEDIATRIC CARE, PLLC
Active
Other names
Milestones Pediatric Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES AARON HENLEY D.O. (MANAGER/MEMBER)
(918) 745-0800
Entity
Organization
Contact information
Practice address
3863 S 103RD EAST AVE, TULSA, OK 74146-2443
(918) 745-0800
(918) 745-0028
Mailing address
3845 S 103RD EAST AVE, SUITE 102, TULSA, OK 74146-2452
(918) 745-0800
(918) 745-0028
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4195
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200312980A
—
OK
Enumeration date
10/27/2010
Last updated
01/14/2014
Update your record
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