Healthcare Provider Details

I. General information

NPI: 1235497678
Provider Name (Legal Business Name): CATHERINE CAROL MILNER D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CATHERINE CAROL MILNER THOMPSON D.O.

II. Dates (important events)

Enumeration Date: 04/23/2012
Last Update Date: 08/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6151 S YALE AVE # LEVELB
TULSA OK
74136-1907
US

IV. Provider business mailing address

6600 S YALE AVE STE 1200
TULSA OK
74136-3361
US

V. Phone/Fax

Practice location:
  • Phone: 918-502-6097
  • Fax: 918-502-6046
Mailing address:
  • Phone: 918-488-6045
  • Fax: 918-488-6098

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number5450
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: