Individual
DR. JONATHAN MICHAEL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 NE 10TH ST, OKLAHOMA CITY, OK 73104-5420
(405) 271-2230
Mailing address
900 NE 10TH ST, OKLAHOMA CITY, OK 73104-5420
(405) 271-2230
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39653
OK
Other
Enumeration date
12/31/2020
Last updated
06/09/2022
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