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NPI Code Detail

MEDICARE: CODY HUME MILLER DO

MEDICARE: CODY HUME MILLER DO
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
1390200000XStudent in an Organized Health Care Education/Training Program
2207Q00000XFamily Medicine Physician7389OK

General Provider Information

NPI Number : 1538798178
Entity Type Code : Individual
Provider Name (Legal Business Name) : CODY HUME MILLER DO
Provider Business Mailing Address
First Line : 1005 N LINCOLN AVE
Second Line :
City : SAND SPRINGS
State : OK
Zip : 74063-7824
Country : US
Telephone Number : 918-640-4753
Fax Number :
Provider Business Practice Location Address
First Line : 20 E 34TH ST
Second Line :
City : SAND SPRINGS
State : OK
Zip : 74063-4001
Country : US
Telephone Number : 918-245-9675
Fax Number : 918-246-1809
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2020
Last Update Date : 12/08/2025

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Directions to “ CODY HUME MILLER DO” Practice Location

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