Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TIMOTHY M RAYCOB, PAC
ActiveMR. TIMOTHY M RAYCOB, PAC is a Physician Assistant healthcare provider located in BARTLESVILLE, Oklahoma. NPI 1174594808 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · BARTLESVILLE, OK
Registration Details
- NPI Number
- 1174594808
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 31, 2006 (20.502961442714 yrs)
- Last Updated
- Aug 1, 2012
- Licenses
-
PA04283 (TX)2136 (OK)
Practice Information
- Address
-
411 S KEELER, AB-02-234CPHILLIPS 66 HEALTH SERVICESBARTLESVILLE, OK, 740036670Browse OK providers · Browse ZIP 74003
- Phone
- 9186616811
- Fax
- 9189778005
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in BARTLESVILLE, OK
| Name | Credential | NPI |
|---|---|---|
| JOHN S KELLEY | PAC | 1568454098 |
| RHONDA MICHELLE LINE | PA-C | 1689666026 |
| MS. SANDRA KAY HARRYMAN | P.A. | 1023071156 |
| KELSEY RIEBEL | — | 1730631912 |
| MARLA TOURNEAR | — | 1376086272 |
| NICHOLAS A MIETUS | PA-C | 1306352422 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.