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TILLER, DAVID HARRISON       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: 13350 200TH ST
LINWOOD KS 66052-0121

Address last updated on 8/26/2022
Phone #: (405) 595-9202
Fax #: (405) 595-9202
County: NOT OKLAHOMA
License: 26522
Dated: 7/29/2008
Expires: 7/1/2023
License Type: Medical Doctor
Specialty: Psychiatry
Family Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: CREIGHTON UNIV SCH OF MED, OMAHA NE 68178
Graduated: 5 / 1981
CME Year: 2023
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: OU Health Medical Center
Oklahoma City, OK
Locations: Hours: Languages:
13350 200TH ST
LINWOOD KS 66052-0121

Phone #: (405) 595-9202
Fax #: (405) 595-9202
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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