Tim T Mcdonald

NPI 1003114570 - Community Health Worker - 172V00000X

NPI Details
NPI 1003114570
Gender Male
Enumeration Date 03/08/2011
Last Updated 03/08/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
5965 S 900 E
SALT LAKE CITY UT, 84121-1720, US
Phone (801) 743-6150
Fax
Business Location
5965 S 900 E
SALT LAKE CITY UT, 84121-1720, US
Phone (801) 637-4905
Fax
Toxanomy
Taxonomy Code 172V00000X
License State
License Number
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According to our database, Mr. Tim T Mcdonald NPI is 1003114570, taxonomy code is 172V00000X Tim T Mcdonald physically located at 5965 S 900 E, Salt Lake City UT, 84121-1720. NPI Number Tim T Mcdonald has the Individual type.

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1003114570 NPI number is provided on an as is basis without warranty of any kind. 1003114570 is maintained by the National Plan & Provider Enumeration System. The contents of Tim T Mcdonald are for informational purposes only.