Provider Demographics
NPI:1306825534
Name:MILLIGAN, THOMAS (DO)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:
Last Name:MILLIGAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:DR
Other - First Name:THOMAS
Other - Middle Name:
Other - Last Name:MILLIGAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:5013 S 136TH EAST AVE
Mailing Address - Street 2:#718
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74134-7026
Mailing Address - Country:US
Mailing Address - Phone:850-619-1064
Mailing Address - Fax:
Practice Address - Street 1:8383 N DAVIS HWY
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32514-6039
Practice Address - Country:US
Practice Address - Phone:850-494-6098
Practice Address - Fax:850-494-5150
Is Sole Proprietor?:No
Enumeration Date:2006-01-16
Last Update Date:2015-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS11551207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHPENDINGMedicare ID - Type Unspecified
OHPENDINGMedicaid
PENDINGMedicare UPIN