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Timothy Legg
Medical Physician Assistant in Laverne, Oklahoma
NPI 1417598293

Timothy Legg is a Medical Physician Assistant based in Buffalo, OK and is specialized in Medical. Timothy Legg practices in Laverne, OK. The NPI Number for Timothy Legg is 1417598293 and holds a License No. 3169 (Oklahoma).

The current practice location address for Timothy Legg is 7Th & Oklahoma Ste 5, Laverne, OK and can be reached out via phone at 580-921-3355.

Location: 7Th & Oklahoma Ste 5, Laverne, OK, 73834-0336
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417598293
Provider Name
Timothy Legg
Credential
Provider Entity Type
Individual
Gender
Male
Address
7Th & Oklahoma Ste 5, Laverne, OK, 73834-0336
Phone Number
580-921-3355
Fax Number
Provider Enumeration Date
10/03/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200892080A 05 OK
institution
Provider Business Practice Location Address Details
Address
7Th & Oklahoma Ste 5
City
Laverne
State
Oklahoma
Zip
73848-0987
Phone Number
580-921-3355
Fax Number
person
Provider Business Mailing Address Details
Address
7Th & Oklahoma Ste 5
City
Laverne
State
Oklahoma
Zip
73848-0987
Phone Number
580-921-3355
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
3169 (Oklahoma)
Definition
Definition to come...
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