Carl Miller JR. D.P.M

NPI 1194991828 - Podiatrist - 213ES0103X

NPI Details
NPI 1194991828
Gender Male
Enumeration Date 05/02/2008
Last Updated 07/05/2011
Entity Type Individual
Active Over 8 years ago
Practice Location
101 S MOORE AVE
CLAREMORE OK, 74017-5047, US
Phone (918) 342-6200
Fax
Business Location
2001 W PRINCETON CIR
#2721
BROKEN ARROW OK, 74012-5011, US
Phone
Fax
Toxanomy
Taxonomy Code 213ES0103X
License State Ohio
License Number 59.000224
Remove 1194991828 NPI Number
 

According to our database, Carl Miller JR. D.P.M NPI is 1194991828, taxonomy code is 213ES0103X and license number is 59.000224, license state is located at Ohio. Carl Miller JR. D.P.M physically located at 101 S Moore Ave, Claremore OK, 74017-5047. NPI Number Carl Miller JR. D.P.M has the Individual type.

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1194991828 NPI number is provided on an as is basis without warranty of any kind. 1194991828 is maintained by the National Plan & Provider Enumeration System. The contents of Carl Miller JR. D.P.M are for informational purposes only.