Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 11261 | OK |
NPI | 1013277284 |
---|---|
Provider Name | Dr. Diana Dee Mills-Maloney |
First Address | Oklahoma City, OK 73151-9138 |
Second Address | Oklahoma City, OK 73151-9138 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2012 |
Last Update Date | 22/05/2012 |