MEDICARE: DR. TIMOTHY JOHN CLAWSON D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	2651	OK

General Provider Information

NPI Number	:	1144367640
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TIMOTHY JOHN CLAWSON D.C.

Provider Business Mailing Address
First Line	:	P.O. BOX 12550
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73157
Country	:	US
Telephone Number	:	405-201-7829
Fax Number	:

Provider Business Practice Location Address
First Line	:	2620 NW EXPRESSWAY STE A
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-7207
Country	:	US
Telephone Number	:	405-201-7829
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2007
Last Update Date	:	09/12/2014

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Directions to “ DR. TIMOTHY JOHN CLAWSON D.C.” Practice Location

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