# TIM THURMAN MD PC

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

## Provider details

- **NPI number:** 1184020075
- **Authorized official:** ROBERT THURMAN MD (PHYSICIAN)
- **Authorized official phone:** (208) 552-1759

## Contact information

- **Practice address:** 933 S UTAH AVE, IDAHO FALLS, ID 83402-3322
- **Practice address phone:** (208) 552-1759
- **Practice address fax:** (208) 552-1870
- **Mailing address:** 933 S UTAH, IDAHO FALLS, ID 83402
- **Mailing address phone:** (208) 552-1759
- **Mailing address fax:** (208) 552-1870

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207XS0106X | Orthopaedic Hand Surgery Physician | M7428 | ID | Yes |

## Other

- **Enumeration date:** 11/05/2014
- **Last updated:** 11/05/2014