Provider Information for 1134415672
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BRIAN M TIMMS MSW
Sex: Male
NPI: 1134415672
Last Updated: 2011-06-23
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1134415672 | ||||||||
| Enumeration Date | 2011-06-23 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 3507 E ADMIRAL PL TULSA, OK 74115-8211 United States Phone: 918-834-4194 | Fax:918-834-4189 | ||||||||
| Primary Practice Address | 3507 E ADMIRAL PL TULSA, OK 74115-8211 United States Phone: 918-834-4194 | Fax:918-834-4189 | ||||||||
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