Individual
MR. TIMOTHY EDWARD DEONIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
592 SINATRA WAY, GRAND JUNCTION, CO 81501-6926
(210) 387-7193
Mailing address
592 SINATRA WAY, GRAND JUNCTION, CO 81501-6926
(210) 387-7193
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
15-235
CO
Other
Enumeration date
04/06/2015
Last updated
09/28/2016
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