Organization
RT MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER ROSS TIPSWORD D.O. (OWNER)
(405) 722-1110
Entity
Organization
Contact information
Practice address
2514 NORTH MERIDIAN AVENUE, OKLAHOMA CITY, OK 73107-1035
(405) 722-1110
(405) 721-8263
Mailing address
2514 NORTH MERIDIAN AVENUE, OKLAHOMA CITY, OK 73107-1035
(405) 722-1110
(405) 721-8263
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3988
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200032500A
—
OK
Enumeration date
10/16/2007
Last updated
05/27/2010
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