Individual
DR. TIM K SMALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
407 N HIGHWAY 102, MCLOUD, OK 74851
(405) 964-2081
(405) 964-2053
Mailing address
PO BOX 1360, MCLOUD, OK 74851-1360
(405) 964-2081
(405) 964-2053
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
8274
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1108274
—
OK
Enumeration date
06/21/2005
Last updated
12/04/2009
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