Individual
MATTHEW TIMMINS GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
11610 N 137TH EAST AVE, COLLINSVILLE, OK 74021-3601
(918) 928-4180
(918) 928-4185
Mailing address
6600 S YALE AVE STE 1400, TULSA, OK 74136-3331
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
118109
OK
363LF0000X
Family Nurse Practitioner
Primary
R0118109
OK
Other
Enumeration date
09/22/2009
Last updated
03/01/2023
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