MR. Timothy James Doty, PA

NPI #1265793756 in Coeur D Alene, Idaho

Provider Information

NPI Number
1265793756
Entity Type
Individual
Name
MR. Timothy James Doty, PA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
May 31, 2012
Last Updated
Oct 6, 2016

Practice Location

Address
1919 LINCOLN WAY
Address 2
415
State
Idaho
ZIP Code
83814-2527
Phone
(208) 625-4595

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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