Tiller, David

Tiller, David is an individual health care provider with primary practice located at 2601 Spencer Rd , Spencer OK 73084-3649. He recently has only one registered license in Allopathic & Osteopathic Physicians / Forensic Psychiatry, which is considered as his primary health care specialty. Tiller, David can be contacted via phone (405) 427-2441.

Contact Information

Primary practice address
2601 Spencer Rd Spencer OK 73084-3649
Phone: (405) 427-2441
Fax: (405) 427-4741
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Forensic Psychiatry 2084F0202X 26522 Oklahoma

Profile Details

NPI number 1336155373
LBN Legal business name Tiller, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Sep 30th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336155373 NPPES
Other MDG232 PREFERRED CARE
Other P010204490 PREFERRED CARE
Other P00115455 PREFERRED CARE

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