Whalio Doctors

NPI 1154302354

Timothy J Nickel, MD

Practitioner Allergy Physician Tulsa, OK

Practice location

Address
9311 S Mingo Rd, Tulsa, OK 74133-5702
Phone
(918) 307-1613
Fax
(918) 307-2454

Registered specialties

Allergy Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207KA0200X Licence 23866 (OK)

Registry record

NPI
1154302354
Entity type
Individual
Sex (as registered)
Male
NPI issued
7 Nov 2005
Record last updated
14 Mar 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.