Individual
LAURA BAXTER MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10717 N MAY AVE, OKLAHOMA CITY, OK 73120-2620
(405) 849-5959
Mailing address
417 NW 38TH ST, OKLAHOMA CITY, OK 73118-8411
(918) 510-6054
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
929
OK
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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