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Timothy W. Medcalf, MD
Cardiovascular Disease Physician in Ada, Oklahoma
NPI 1548221443

Timothy W. Medcalf is a Cardiovascular Disease Physician based in Konawa, OK and is specialized in Cardiovascular Disease. Timothy W. Medcalf practices in Ada, OK and has the professional credentials of MD. The NPI Number for Timothy W. Medcalf is 1548221443 and holds a License No. 0431221 (Oklahoma).

The current practice location address for Timothy W. Medcalf is 301 N Monte Vista St, Ada, OK and can be reached out via phone at 580-364-5111 and via fax at 580-279-1994.

Location: 301 N Monte Vista St, Ada, OK, 74849-1415
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548221443
Provider Name
Timothy W. Medcalf
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
301 N Monte Vista St, Ada, OK, 74849-1415
Phone Number
580-364-5111
Fax Number
580-279-1994
Provider Enumeration Date
03/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200080110A 01 OK MEDICAID GROUP
300522226 01 OK MEDICARE GROUP
100125290B 05 OK
institution
Provider Business Practice Location Address Details
Address
301 N Monte Vista St
City
Ada
State
Oklahoma
Zip
74820-4607
Phone Number
580-364-5111
Fax Number
580-279-1994
person
Provider Business Mailing Address Details
Address
301 N Monte Vista St
City
Ada
State
Oklahoma
Zip
74820-4607
Phone Number
580-364-5111
Fax Number
580-279-1994
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
0431221 (Kansas)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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