TIMOTHY SCOTT TIDWELL

OKLAHOMA CITY, OK
NPI1326530676
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OK  101752)
Enumeration Date2018-06-02
Last Update Date2018-06-02
Business Address
Mr. TIMOTHY SCOTT TIDWELL DNP, NP-C
12221 HEATHFIELD LN
OKLAHOMA CITY, OK 73173-7011
Phone number: 918-647-1648
Mailing Address
Mr. TIMOTHY SCOTT TIDWELL DNP, NP-C
12221 HEATHFIELD LN
OKLAHOMA CITY, OK 73173-7011
Phone number: 918-647-1648
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