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
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