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Individual

DR. TYRONE PHILIPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
430 N MONTE VISTA ST, ADA, OK 74820-4610
(580) 421-1127
(580) 436-6674
Mailing address
430 N MONTE VISTA ST, ADA, OK 74820-4610
(580) 421-1127
(580) 436-6674

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
137903
CA
207P00000X
Emergency Medicine Physician
31793
OK
207P00000X
Emergency Medicine Physician
Primary
R6259
TX
390200000X
Student in an Organized Health Care Education/Training Program
CA

Other

Enumeration date
08/08/2013
Last updated
03/25/2026
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