Individual
TIM MARSHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
6950 E 126TH ST S, BIXBY, OK 74008-2368
(918) 231-3931
Mailing address
6950 E 126TH ST S, BIXBY, OK 74008-2368
(918) 231-3931
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
64747
OK
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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