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Timothy Weaver, MD

Surgery in Yukon, OK. Individual provider (NPI-1).

NPI number1831410752
StatusActive
Last updated in NPPESMar 5, 2020

Details

NPI
1831410752
Entity type
Individual (NPI-1)
Name
Timothy Weaver
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 15, 2010
Certification date
Mar 5, 2020
Last updated
Mar 5, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X Surgery27907OKYes

Practice location

1205 Health Center Pkwy Ste 100
Yukon, OK 73099-6396

Phone 405-717-5400 · Fax 405-717-5441

Mailing address

5300 N Independence Ave Ste 280
Oklahoma City, OK 73112-5555

Phone 405-717-5400 · Fax 405-717-5441

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