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Timothy Bushyhead

NPI 1154718807 · on the registry since 2015

Practice

Address
1501 W Rogers Blvd
Skiatook, OK 74070
Phone
(918) 396-4122
Fax
(918) 403-6301
Clinicians at this address
4

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-09-05

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