MR. TIMOTHY RAYCOB, PAC

Physician Assistant

Active Individual
NPI: 1174594808

Practice Address

411 S KEELER, AB-02-234C
PHILLIPS 66 HEALTH SERVICES
Bartlesville, OK 74003

Phone: (918) 661-6811

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes 2136 (OK)

Frequently Asked Questions

NPI 1174594808 is the National Provider Identifier for MR. TIMOTHY RAYCOB, PAC, a Physician Assistant provider located in Bartlesville, OK. This NPI was enumerated on January 31, 2006.
MR. TIMOTHY RAYCOB, PAC practices at 411 S KEELER, AB-02-234C, PHILLIPS 66 HEALTH SERVICES, Bartlesville, OK 74003.

Quick Facts

NPI
1174594808
Type
Individual
Enumerated
Jan 31, 2006
Last Updated
Aug 1, 2012

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