Provider Demographics
NPI:1336169952
Name:MILLER, ARCHIBALD SANFORD III (MD)
Entity Type:Individual
Prefix:DR
First Name:ARCHIBALD
Middle Name:SANFORD
Last Name:MILLER
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:6585 S YALE AVE
Mailing Address - Street 2:SUITE 315
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-8384
Mailing Address - Country:US
Mailing Address - Phone:918-492-2282
Mailing Address - Fax:918-491-9188
Practice Address - Street 1:6585 S YALE AVE
Practice Address - Street 2:SUITE 315
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-8384
Practice Address - Country:US
Practice Address - Phone:918-492-2282
Practice Address - Fax:918-491-9188
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2011-12-22
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Provider Licenses
StateLicense IDTaxonomies
OK156532086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery