Timothy James Doty PA

NPI 1265793756 - Physician Assistant - 363AM0700X

NPI Details
NPI 1265793756
Gender Male
Enumeration Date 05/31/2012
Last Updated 01/28/2016
Entity Type Individual
Active Over 4 years ago
Practice Location
1919 LINCOLN WAY
415
COEUR D ALENE ID, 83814-2527, US
Phone (208) 625-4595
Fax
Business Location
1919 LINCOLN WAY
415
COEUR D ALENE ID, 83814-2527, US
Phone (208) 625-4595
Fax (208) 667-7062
Toxanomy
Taxonomy Code 363AM0700X
License State Idaho
License Number PA 974
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According to our database, Mr. Timothy James Doty PA NPI is 1265793756, taxonomy code is 363AM0700X and license number is PA 974, license state is located at Idaho. Timothy James Doty PA physically located at 1919 Lincoln Way, Coeur D Alene ID, 83814-2527. NPI Number Timothy James Doty PA has the Individual type.

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1265793756 NPI number is provided on an as is basis without warranty of any kind. 1265793756 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy James Doty PA are for informational purposes only.