Male or Other

Jesse G. Miller DC

Chiropractor in Muskogee, OK(View on Map)

Full Name

Jesse Glenn Miller DC

NPI Number

1720170517

NPI Type

Individual Provider

Gender

Male

Enumeration Date

09/29/2006

Specialties

(Taxonomies)

Code

111N00000X

Primary Taxonomy

Yes

Licenses

State

Oklahoma

License Number

3042

Contact
Information

Purpose

Mailing
Location

Address

300 W SHAWNEE ST STE B
300 W SHAWNEE ST STE B

City

Muskogee
Muskogee

State

OK
OK

Postal Code

74401-4151
74401-4151

Country

US
US

Telephone Number

(918) 683-9777
(918) 683-9777

Identifiers

Identifier

100830610A

Identifier State

OK

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/02/2014

Provider Address

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