Individual
TIM DALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3433 NW 56TH ST, STE 400, OKLAHOMA CITY, OK 73112-4455
(405) 947-3341
Mailing address
3433 NW 56TH ST STE 660, OKLAHOMA CITY, OK 73112-4449
(405) 947-3341
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
22381
OK
207RI0011X
Interventional Cardiology Physician
Primary
22381
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200168550A
—
OK
Enumeration date
02/07/2007
Last updated
04/12/2018
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