Organization
TSQ INC
Active
Other names
Sanford Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY HERBERT SANFORD D.O. (PRESIDENT/D.O.)
(918) 759-2200
Entity
Organization
Contact information
Practice address
1151 SOUTH BELMONT, SUITE 101, OKMULGEE, OK 74447
(918) 759-2200
Mailing address
1151 SOUTH BELMONT, SUITE 101, OKMULGEE, OK 74447
(918) 759-2200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3695
OK
Other
Enumeration date
08/18/2006
Last updated
08/22/2020
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