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Contact Information

TIMOTHY VAVRICKA, MD
401 SW 80TH ST STE 101
OKLAHOMA CITY, OK73139
 Phone: 405-601-5169
 Fax: 405-601-9095
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for TIMOTHY VAVRICKA · (Male)

NPI Number 1700927175
Status Active
Credentials MD
Entity Individual
Enumeration date 02/09/2007
Last updated 06/15/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 24483
Hospital affiliation(s)
  • INTEGRIS SOUTHWEST MEDICAL CENTER - (Acute Care)
    4401 SOUTH WESTERN AVENUE
    OKLAHOMA CITY, OK 73109
  • OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SP - (Acute Care)
    330 SOUTHWEST 80TH STREET
    OKLAHOMA CITY, OK 73139
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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