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Individual

TIMOTHY LUKE CRAMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1226 N SHARTEL AVE, SUITE 300, OKLAHOMA CITY, OK 73103
(405) 232-8003
(405) 232-8008
Mailing address
701 NE 10TH ST, OKLAHOMA CITY, OK 73104-5403
(405) 232-8003
(405) 232-8008

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
30764
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200639900A
OK
Enumeration date
06/17/2014
Last updated
07/14/2018
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