Individual
TIMOTHY VAVRICKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 SW 80TH ST STE 101, OKLAHOMA CITY, OK 73139
(405) 601-5169
(405) 601-9095
Mailing address
401 SW 80TH ST STE 101, OKLAHOMA CITY, OK 73139-8123
(405) 601-5169
(405) 601-9095
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
24483
OK
Other
Enumeration date
02/09/2007
Last updated
06/15/2018
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