Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY LEGG
Active Sole ProprietorTIMOTHY LEGG is a Medical Physician Assistant healthcare provider located in LAVERNE, Oklahoma. NPI 1417598293 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · LAVERNE, OK
Registration Details
- NPI Number
- 1417598293
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 3, 2019 (6.854919436495 yrs)
- Last Updated
- Dec 22, 2020
- License
-
3169 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7TH & OKLAHOMA STE 5LAVERNE, OK, 738480987Browse OK providers · Browse ZIP 73848
- Phone
- 5809213355
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
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.