Individual
MR. TIM M LAING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
700 S TELEPHONE RD, MOORE, OK 73160
(405) 793-9355
Mailing address
2412 PANTHEON CIR, OKLAHOMA CITY, OK 73170-3236
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
792
OK
Other
Enumeration date
05/04/2006
Last updated
07/08/2007
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