Individual
TIMOTHY RUTLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
252 W 17TH PL, TULSA, OK 74119-4654
(512) 297-7715
Mailing address
252 W 17TH PL, TULSA, OK 74119-4654
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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