Individual
DR. TIMOTHY BUSH REED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
406 S 4TH ST APT 313, BOISE, ID 83702-7696
(917) 664-6489
Mailing address
406 S 4TH ST APT 313, BOISE, ID 83702-7696
(917) 664-6489
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
M-17786
ID
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
09/23/2009
Last updated
08/23/2024
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