Dr.mickey Tyrrell, M.d. Pllc

NPI #1598962771 in Vinita, Oklahoma

Provider Information

NPI Number: 1598962771
Entity Type: Organization
Organization Name: Dr.mickey Tyrrell, M.d. Pllc
Primary Specialty: Family Medicine
Enumeration Date: Jun 29, 2007
Last Updated: Sep 1, 2016

Practice Location

Address: 803 N FOREMAN ST
Address 2: SUITE 102
City: Vinita
State: Oklahoma
ZIP Code: 74301-1412
Phone: (918) 256-2261

Authorized Official

Name: DR. MICKEY RAY TYRRELL, MD
Title: OWNER
Phone: (918) 256-2261

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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