Individual provider · Type 1 NPI
Timothy Legg
Medical Physician Assistant · Laverne, OK
NPI number
1417598293
Active
Practice location
7th & Oklahoma Ste 5
Laverne, OK 73848-0987
Mailing address
PO Box 336
Buffalo, OK 73834-0336
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 3169 (OK) |
Medical Physician Assistant: Definition to come...
Another provider at this address
About NPI 1417598293
Timothy Legg's National Provider Identifier is 1417598293, issued on Oct 3, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Laverne, OK. The record was last updated on Dec 22, 2020.