MR. Timothy M Raycob, PAC

NPI #1174594808 in Bartlesville, Oklahoma

Provider Information

NPI Number: 1174594808
Entity Type: Individual
Name: MR. Timothy M Raycob, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Jan 31, 2006
Last Updated: Aug 1, 2012

Practice Location

Address: 411 S KEELER, AB-02-234C
Address 2: PHILLIPS 66 HEALTH SERVICES
City: Bartlesville
State: Oklahoma
ZIP Code: 74003-6670
Phone: (918) 661-6811

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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