Individual
TONY R HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
503 S. ASPEN, BROKEN ARROW, OK 74012-8792
(918) 286-6331
Mailing address
DEPT. 672, TULSA, OK 74182-0001
(866) 321-8433
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
3579
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100119710A
—
OK
Enumeration date
10/12/2005
Last updated
07/26/2010
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