Timothy W Tollestrup M.D.

NPI 1982711628 - Surgery - 208600000X

NPI Details
NPI 1982711628
Gender Male
Enumeration Date 08/25/2006
Last Updated 03/11/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
3035 W HORIZON RIDGE PKWY STE 120
HENDERSON NV, 89052-4189, US
Phone (702) 666-0463
Fax (702) 666-0455
Business Location
3035 W HORIZON RIDGE PKWY STE 120
HENDERSON NV, 89052-4189, US
Phone (702) 666-0463
Fax (702) 666-0455
Toxanomy
Taxonomy Code 208600000X
License State Nevada
License Number 13209
Remove 1982711628 NPI Number
 

According to our database, Timothy W Tollestrup M.D. NPI is 1982711628, taxonomy code is 208600000X and license number is 13209, license state is located at Nevada. Timothy W Tollestrup M.D. physically located at 3035 W Horizon Ridge Pkwy Ste 120, Henderson NV, 89052-4189. NPI Number Timothy W Tollestrup M.D. has the Individual type.

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1982711628 NPI number is provided on an as is basis without warranty of any kind. 1982711628 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy W Tollestrup M.D. are for informational purposes only.