Individual
TIMOTHY WILLIAM SAMPLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3601 N MAY AVE, SUITE C, OKLAHOMA CITY, OK 73112-6641
(405) 604-5613
(405) 601-3750
Mailing address
3601 N MAY AVE, SUITE C, OKLAHOMA CITY, OK 73112-6641
(405) 604-5613
(405) 601-3750
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
LP83
OK
Other
Enumeration date
04/23/2010
Last updated
04/23/2010
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