Individual
DR. TIMOTHY EUGENE DOERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8854 W EMERALD ST, SUITE 140, BOISE, ID 83704-4844
(208) 321-4790
(208) 321-4836
Mailing address
8854 W EMERALD ST, STE 140, BOISE, ID 83704-4845
(208) 321-4790
(208) 321-4836
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
M7259
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010004063
REGENCE BLUE SHIELD
ID
01
—
72595
BLUE CROSS
ID
05
—
804191700
—
ID
01
—
P00171922
TRAVELERS MEDICARE
ID
Enumeration date
05/09/2006
Last updated
10/18/2018
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