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Timmothy Stewart
NPI 1467842948 · on the registry since 2015
Practice
- Address
- 1401 N Whitley Dr Ste 13
Fruitland, ID 83619 - Phone
- (208) 452-2592
Registry record
- Primary taxonomy
- 237700000X
237700000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-02-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho