Timothy Laine Nicol, PA-C

NPI #1881407914 in Ozark, Missouri

Provider Information

NPI Number: 1881407914
Entity Type: Individual
Name: Timothy Laine Nicol, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jan 31, 2025
Last Updated: Apr 22, 2025

Practice Location

Address: 3050 E RIVER BLUFF BLVD
City: Ozark
State: Missouri
ZIP Code: 65721-8807
Phone: (417) 885-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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