Individual
JON DALTON TILLINGHAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 NE 10TH ST, OKLAHOMA STATE DEPARTMENT OF HEALTH TB DIVISION, OKLAHOMA CITY, OK 73117-1299
(405) 271-4060
(405) 271-6680
Mailing address
600 NW 4TH ST, #211, OKLAHOMA CITY, OK 73102-1638
(405) 235-5685
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
8489
OK
2083P0901X
Public Health & General Preventive Medicine Physician
D3533
TX
Other
Enumeration date
04/16/2007
Last updated
03/07/2023
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