Individual
TIMOTHY DAVID HERRINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4502 E 41ST ST, TULSA, OK 74135-2536
(918) 619-4400
Mailing address
9002 S DARLINGTON AVE, TULSA, OK 74137-3567
(918) 607-9562
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
29969
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2013
Last updated
10/01/2014
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