MEDICARE: MR. MARK ANSON MILLS DIPL. AC.

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
1	171100000X	Acupuncturist	625	MA

General Provider Information

NPI Number	:	1447310701
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MARK ANSON MILLS DIPL. AC.

Provider Business Mailing Address
First Line	:	1818 W LINDSEY ST
Second Line	:	SUITE C-160
City	:	NORMAN
State	:	OK
Zip	:	73069-4159
Country	:	US
Telephone Number	:	405-321-5546
Fax Number	:

Provider Business Practice Location Address
First Line	:	1818 W LINDSEY ST
Second Line	:	SUITE C-160
City	:	NORMAN
State	:	OK
Zip	:	73069-4159
Country	:	US
Telephone Number	:	405-321-5546
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/09/2006
Last Update Date	:	07/08/2007

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