Individual
MR. JON RANDALL MILLS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3815 W. CARRIER RD, ENID, OK 73703
(580) 278-6804
(888) 498-4576
Mailing address
P.O. BOX 1195, BIXBY, OK 74008
(580) 278-6804
(888) 498-4576
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5047
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200400290A
—
OK
Enumeration date
04/14/2010
Last updated
06/21/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us