Individual
ANNA LEE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1145 S UTICA AVE STE 460, TULSA, OK 74104
(918) 579-5749
(918) 579-5762
Mailing address
1145 S UTICA AVE STE 460, TULSA, OK 74104-4041
(918) 579-5749
(918) 579-5762
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21507
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100178070A
—
OK
05
—
150391001
—
AR
Enumeration date
08/01/2006
Last updated
06/20/2019
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