NPI 1336155373

David Tiller, MD

Practitioner Forensic Psychiatry Physician Spencer, OK

Practice location

Address: 2601 Spencer Rd, Spencer, OK 73084-3649
Phone: (405) 427-2441
Fax: (405) 427-4741
Mailing address: 5300 N Independence Ave Suite 280, Oklahoma City, OK 73112-5556

Registered specialties

Forensic Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084F0202X Licence 26522 (OK)

Other Psychiatry & Neurology providers in Oklahoma →

Registry record

NPI: 1336155373
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Jul 2006
Record last updated: 30 Sep 2014

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.