Mickey R Tyrrell, MD

NPI #1710925680 in Vinita, Oklahoma

Provider Information

NPI Number: 1710925680
Entity Type: Individual
Name: Mickey R Tyrrell, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jun 3, 2006
Last Updated: Mar 22, 2011

Practice Location

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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