Individual
JUSTIN K MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPA
Contact information
Practice address
6333 E SKELLY DR STE 602, TULSA, OK 74135-6101
(918) 706-6067
Mailing address
3613 E 55TH ST, TULSA, OK 74135-3811
(918) 706-6067
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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