# TIM WEILL MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003030818
- **Authorized official:** DR. TIMOTHY CLARK WEILL MD (CEO)
- **Authorized official phone:** (406) 761-6880

## Contact information

- **Practice address:** 2800 11TH AVE S, SUITE 13, GREAT FALLS, MT 59405-5263
- **Practice address phone:** (406) 761-6880
- **Mailing address:** 2800 11TH AVE S, SUITE 13, GREAT FALLS, MT 59405-5263
- **Mailing address phone:** (406) 761-6880

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 6151 | MT | Yes |

## Other

- **Enumeration date:** 04/12/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0065739 | — | MT |