NPI 1609162205

Jason Bulent Tilley, DO

Practitioner Emergency Medicine Physician Moore, OK

Practice location

Address: 2900 S Telephone Rd STE 250, Moore, OK 73160
Phone: (814) 232-1477
Mailing address: 15705 Hatterly Ln, Edmond, OK 73013-4179

Registered specialties (2)

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 6304 (OK)

Other Emergency Medicine providers in Oklahoma →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Oklahoma →

Registry record

NPI: 1609162205
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Jun 2011
Record last updated: 26 Jul 2018

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.