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Individual
DR. TIMOTHY JOSEPH ST ONGE
Active
Individual
DR. TIMOTHY JOSEPH ST ONGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
10070
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TXB164587
MEDICARE PTAN
TX
Enumeration date
07/01/2006
Last updated
07/21/2022
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