Timothy Legg

NPI #1417598293 in Laverne, Oklahoma

Provider Information

NPI Number
1417598293
Entity Type
Individual
Name
Timothy Legg
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant - Medical
Enumeration Date
Oct 3, 2019
Last Updated
Dec 22, 2020

Practice Location

Address
7TH & OKLAHOMA STE 5
ZIP Code
73848-0987
Phone
(580) 921-3355

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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