Provider Demographics
NPI:1487685715
Name:MILLER, GEORGE STEVE (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:STEVE
Last Name:MILLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:8803 S 101ST EAST AVE
Mailing Address - Street 2:SUITE 280
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-5726
Mailing Address - Country:US
Mailing Address - Phone:918-579-3070
Mailing Address - Fax:918-579-3296
Practice Address - Street 1:8803 S 101ST EAST AVE
Practice Address - Street 2:SUITE 280
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-5726
Practice Address - Country:US
Practice Address - Phone:918-579-3070
Practice Address - Fax:918-579-3296
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2016-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK150172084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100170610AMedicaid
OK100170610AMedicaid
OK100170610AMedicaid