Individual
TIMOTHY J ELDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
608 NW 9TH ST STE 6200, OKLAHOMA CITY, OK 73102-1017
(405) 232-4211
(405) 232-3767
Mailing address
401 SW 80TH ST STE 101, OKLAHOMA CITY, OK 73139-8123
(405) 286-9465
(405) 286-9462
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
21880
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100041900A
—
OK
Enumeration date
02/22/2006
Last updated
07/26/2022
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