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NPI Code Detail

MEDICARE: JEFFREY A MILLER M.D.

MEDICARE: JEFFREY A MILLER M.D.
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
1207LP2900XPain Medicine (Anesthesiology) Physician25175OK
2207L00000XAnesthesiology Physician25175OK

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 : 1508905704
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY A MILLER M.D.
Provider Business Mailing Address
First Line : 1109 SW 30TH CT STE A
Second Line :
City : MOORE
State : OK
Zip : 73160-2887
Country : US
Telephone Number : 405-703-0937
Fax Number : 888-290-8567
Provider Business Practice Location Address
First Line : 1109 SW 30TH CT STE A
Second Line :
City : MOORE
State : OK
Zip : 73160-2887
Country : US
Telephone Number : 405-703-0937
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2007
Last Update Date : 08/29/2025

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Directions to “ JEFFREY A MILLER M.D.” Practice Location

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