Individual
TRUDY J MILNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
715 GRANDVIEW AVE, PAWHUSKA, OK 74056-3201
(918) 287-9300
(918) 287-6138
Mailing address
1919 S WHEELING AVE, LL 100, TULSA, OK 74104-5638
(918) 748-7890
(918) 293-3137
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2801
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100135440A
—
OK
Enumeration date
03/14/2006
Last updated
10/13/2020
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