MILES COLEMAN WALLER MD NPI 1750057949

NPI Information

  • NPI: 1750057949
  • Provider Name: MILES COLEMAN WALLER, MD
  • Classification: Pediatrics - 208000000X
  • Entity Type: Individual
  • Address: 2226 E 38TH ST
    TULSA, OK
    ZIP 74105
  • Phone: (918) 671-6400

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NPI Details

Miles Coleman Waller, MD is a pediatrics in Tulsa, OK. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Miles Coleman Waller, MD NPI is 1750057949. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2226 E 38TH ST
TULSA, OK
ZIP 74105-406
Phone: (918) 671-6400

The enumeration date for this NPI number is 8/18/2021 and was last updated on 6/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2208000000XPediatrics45921OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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