| NPI | 1083705412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND DELBERT (NILES) MILLER President 918-756-3231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OK 5440) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-08-22 |