Individual
DR. MICHAEL HINES TOLLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
179133 N 2600 RD, WALTERS, OK 73572-3817
(580) 695-4793
(580) 252-1253
Mailing address
179133 N 2600 RD, WALTERS, OK 73572-3817
(580) 695-4793
(580) 252-1253
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
28274
CO
207P00000X
Emergency Medicine Physician
Primary
28274
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1282748
—
CO
Enumeration date
05/08/2006
Last updated
05/22/2024
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