Provider Demographics
NPI:1275672123
Name:GEIB, TIMOTHY MICHAEL (MD)
Entity Type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:MICHAEL
Last Name:GEIB
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:3400 W TECUMSEH RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-1810
Mailing Address - Country:US
Mailing Address - Phone:405-360-6764
Mailing Address - Fax:405-360-6769
Practice Address - Street 1:13401 N. WESTERN AVE.
Practice Address - Street 2:STE. 301
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73114
Practice Address - Country:US
Practice Address - Phone:405-478-7111
Practice Address - Fax:405-478-7112
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2016-05-24
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Provider Licenses
StateLicense IDTaxonomies
OK22888207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS200000541Medicare PIN