Timothy Austin Deeter

NPI 1235414418 - Community Health Worker - 172V00000X

NPI Details
NPI 1235414418
Gender Male
Enumeration Date 10/19/2011
Last Updated 10/19/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
206 W HIGH ST
BELLEFONTE PA, 16823-1302, US
Phone (814) 353-3151
Fax (814) 353-1876
Business Location
206 W HIGH ST
BELLEFONTE PA, 16823-1302, US
Phone (814) 353-3151
Fax (814) 353-1876
Toxanomy
Taxonomy Code 172V00000X
License State
License Number
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According to our database, Mr. Timothy Austin Deeter NPI is 1235414418, taxonomy code is 172V00000X Timothy Austin Deeter physically located at 206 W High St, Bellefonte PA, 16823-1302. NPI Number Timothy Austin Deeter has the Individual type.

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1235414418 NPI number is provided on an as is basis without warranty of any kind. 1235414418 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy Austin Deeter are for informational purposes only.