Individual
DR. JOHN ROSS MILLER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2345 SOUTHWEST BLVD, TULSA, OK 74107-2705
(918) 582-1980
(918) 561-1289
Mailing address
2401 SOUTHWEST BLVD, TULSA, OK 74107-2726
(918) 561-5701
(918) 561-1173
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5046
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200349930A
—
OK
Enumeration date
05/19/2010
Last updated
09/15/2020
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