# TIMOTHY M. TOLAN, M.D., INC.

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

## Provider details

- **NPI number:** 1134348816
- **Authorized official:** DR. TIMOTHY M TOLAN M.D. (PHYSICIAN)
- **Authorized official phone:** (702) 735-1400

## Contact information

- **Practice address:** 5785 S. FORT APACHE, LAS VEGAS, NV 89148
- **Practice address phone:** (702) 735-1400
- **Practice address fax:** (702) 688-4193
- **Mailing address:** 5785 S. FORT APACHE, LAS VEGAS, NV 89148
- **Mailing address phone:** (702) 735-1400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | — | NULL | Yes |
| 207Y00000X | Otolaryngology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/24/2007
- **Last updated:** 08/22/2020
