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Individual
DR. TIMOTHY C. SPEARS
Active
Individual
DR. TIMOTHY C. SPEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0523246
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016668
MEDICARE GROUP
KS
05
—
100233960G
—
KS
01
—
106538
MC PERFORMING PROVIDER #
KS
Enumeration date
06/13/2005
Last updated
06/16/2026
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