Timothy Bushyhead

NPI #1154718807 in Skiatook, Oklahoma

Provider Information

NPI Number: 1154718807
Entity Type: Individual
Name: Timothy Bushyhead
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Enumeration Date: Apr 21, 2015
Last Updated: Sep 5, 2018

Practice Location

Address: 1501 W ROGERS BLVD
City: Skiatook
State: Oklahoma
ZIP Code: 74070
Phone: (918) 396-4122

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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