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Andrew Tillson
NPI 1154703411 · on the registry since 2015 · sole proprietor
Practice
- Address
- 1700 E 141st St
Glenpool, OK 74033 - Phone
- (918) 291-4230
- Organisation at this address
- Glenpool Operations Llc
Glennwood Healthcare Inc
Glenpool Health Services LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-06-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma