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Timothy Gilcrest, PA-C, MPAS

Physician Assistant, Surgical in Muskogee, OK. Individual provider (NPI-1).

NPI number1902829310
StatusActive
Last updated in NPPESMay 1, 2013

Details

NPI
1902829310
Entity type
Individual (NPI-1)
Name
Timothy Gilcrest
Credential
PA-C, MPAS
Sex
Male
Sole proprietor
No
Enumeration date
Jul 26, 2006
Last updated
May 1, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AS0400X Physician Assistant, Surgical983OKYes

Practice location

1011 Honor Heights Dr
Muskogee, OK 74401-1318

Phone 918-680-3673 · Fax 918-680-3677

Mailing address

1011 Honors Heights Drive
Muskogee, OK 74401

Phone 918-680-3673 · Fax 918-680-3677

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