<Unavail>

LBN: Dr. Peteryne D. Miller, M.D. Llc
<Unavail> is an health care organization with primary practice located at 4870 S Lewis Ave Ste 205 , Tulsa OK 74105-5153. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Dr. Peteryne D. Miller, M.D. Llc can be contacted via phone (918) 863-2910, or through Owens, Jennifer via phone (918) 863-2910.

Contact Information

Primary practice address
4870 S Lewis Ave Ste 205 Tulsa OK 74105-5153
Phone: (918) 863-2910
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Owens, Jennifer
Phone: (918) 863-2910

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1356828305
LBN Legal business name Dr. Peteryne D. Miller, M.D. Llc
DBA Doing business as <Unavail>
Authorized official Owens, Jennifer
Entity Organization
Organization subpart 1 No
Enumeration date Jul 23rd, 2018
Last updated Jul 23rd, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356828305 NPPES
Oklahoma MEDICAID 200085110B

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