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Individual
DR. TIMOTHY SCOTT ANDERSON
Active
Individual
DR. TIMOTHY SCOTT ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP00000868
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080076923
MEDICARE RAILROAD
WA
01
—
104369
LABOR & INDUSTRIES
WA
05
—
8150070
—
WA
01
—
AN6337
BLUE SHIELD
WA
Enumeration date
11/18/2005
Last updated
02/16/2011
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