Individual
TIMOTHY MICHAEL TABOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1001 RIO VISTA DR, FALLON, NV 89406-5463
(775) 423-3634
Mailing address
1001 RIO VISTA DR, FALLON, NV 89406-5463
(775) 423-3634
(775) 423-4319
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA3080
NV
Other
Enumeration date
09/14/2006
Last updated
12/18/2024
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