Search › Oklahoma › 343900000X
Thimotee Ilboudo
NPI 1093163024 · on the registry since 2016 · sole proprietor
Practice
- Address
- 3198 Highway 412 Ste B
Colcord, OK 74338 - Phone
- (479) 365-7096
Registry record
- Primary taxonomy
- 343900000X
343900000X
- Also registered as
- 343900000X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma