Individual
DR. DAVID BRENT TIPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4219 S WESTERN AVE, OKLAHOMA CITY, OK 73109-3410
(405) 644-5356
(405) 636-7946
Mailing address
5300 N INDEPENDENCE AVE STE 280, OKLAHOMA CITY, OK 73112-5555
(405) 644-5356
(405) 636-7946
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
18762
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100112170A
—
OK
Enumeration date
05/04/2006
Last updated
11/19/2019
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