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Organization
TIMOTHY W TOLLESTRUP PC
Active
Organization
TIMOTHY W TOLLESTRUP PC
Active
Other names
Neuropax Clinic of Nevada
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY W TOLLESTRUP M.D. (PRESIDENT)
(702) 666-0463
Entity
Organization
Contact information
Practice address
3035 W HORIZON RIDGE PKWY STE 120, HENDERSON, NV 89052-4189
(702) 666-0463
(702) 666-0463
Mailing address
3035 W HORIZON RIDGE PKWY STE 120, HENDERSON, NV 89052-4189
(702) 666-0463
(702) 666-0463
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
—
NULL
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
—
—
Other
Enumeration date
08/20/2009
Last updated
03/11/2010
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