Individual
DR. TIMOTHY BURTON MACLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
9318 S TOLEDO CT, TULSA, OK 74137-2746
(918) 749-3228
(918) 747-2759
Mailing address
PO BOX 21568, TULSA, OK 74121-1568
(918) 749-3228
(918) 747-2759
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
165
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0657650001
DMERC
OK
01
—
731308674003
CIGNA
OK
Enumeration date
08/29/2006
Last updated
05/09/2012
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