Miller, David W

Miller, David W is an individual health care provider with primary practice located at 503 S Aspen , Broken Arrow OK 74127-9020. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Miller, David W can be contacted via phone (918) 286-6331.

Contact Information

Primary practice address
503 S Aspen Broken Arrow OK 74127-9020
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 20875 Oklahoma

Profile Details

NPI number 1174511042
LBN Legal business name Miller, David W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Jul 27th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174511042 NPPES
Oklahoma MEDICAID 100021790B

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