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NPI Code Detail

MEDICARE: DR. MILES C LANGMACHER III MD

MEDICARE: DR. MILES C LANGMACHER III MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician21204OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518942622
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MILES C LANGMACHER III MD
Provider Business Mailing Address
First Line : PO BOX 96-0201
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73196-0001
Country : US
Telephone Number : 405-947-8586
Fax Number : 405-948-6507
Provider Business Practice Location Address
First Line : 4401 S WESTERN AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73109-3413
Country : US
Telephone Number : 405-945-0045
Fax Number : 405-948-6507
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2005
Last Update Date : 12/16/2009

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