Individual
TIMOTHY J FRINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
101 ROCKEFELLER DR, SUITE 100, MUSKOGEE, OK 74401-5056
(918) 684-4393
(918) 684-9096
Mailing address
101 ROCKEFELLER DR, SUITE 100, MUSKOGEE, OK 74401-5056
(918) 684-4393
(918) 684-9096
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
3518
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100002710A
—
OK
01
—
2143552
UNITED HEALTHCARE
OK
01
—
7521116
AETNA
OK
Enumeration date
10/12/2005
Last updated
08/11/2009
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