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NPI Code Detail

MEDICARE: DR. BRANDON SCOTT MILLS D.C.

MEDICARE: DR. BRANDON SCOTT MILLS D.C.
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
1111N00000XChiropractor3843OK

General Provider Information

NPI Number : 1053514406
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRANDON SCOTT MILLS D.C.
Provider Business Mailing Address
First Line : 10801 S WESTERN AVE STE 400
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73170-6224
Country : US
Telephone Number : 405-703-3033
Fax Number :
Provider Business Practice Location Address
First Line : 10801 S WESTERN AVE STE 400
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73170-6224
Country : US
Telephone Number : 405-703-3033
Fax Number : 405-735-9495
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2007
Last Update Date : 04/21/2021

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