Individual
MR. DUSTIN WILLIAM TIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1257 E 33RD ST, EDMOND, OK 73013-6307
(405) 757-2430
(405) 757-6017
Mailing address
1257 E 33RD ST, EDMOND, OK 73013-6307
(405) 757-2430
(405) 757-6017
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2226
OK
Other
Enumeration date
01/03/2013
Last updated
11/27/2020
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