Individual
CLIFF TIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1334 N LANSING AVE, TULSA, OK 74106-5907
(918) 587-2171
(918) 582-0529
Mailing address
1334 N LANSING AVE, TULSA, OK 74106-5907
(918) 587-2171
(918) 582-0529
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
00689341
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
371803
MEDICARE
OK
Enumeration date
09/20/2005
Last updated
12/27/2007
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