Individual
JACOB M TIPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2557 OLD TIMBERS DR, EDMOND, OK 73034-9813
(405) 669-2600
(405) 500-1232
Mailing address
3001 QUAIL SPRINGS PKWY FL 5, OKLAHOMA CITY, OK 73134-2640
(405) 669-2600
(405) 500-1232
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35969
OK
Other
Enumeration date
06/03/2020
Last updated
07/27/2023
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