Individual
TIMOTHY A PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
825 NE 10TH ST, OUPB1300, OKLAHOMA CITY, OK 73104-5417
(405) 271-6667
Mailing address
1122 NE 13TH ST, ORI236, OKLAHOMA CITY, OK 73117-1039
(405) 271-1515
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
18047
OK
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
18047
OK
Other
Enumeration date
03/09/2006
Last updated
09/11/2025
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