Individual
BRET ANDREW TIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
510 ROOSEVELT ST, AMERICAN FALLS, ID 83211-1362
(208) 226-3200
(208) 226-3218
Mailing address
510 ROOSEVELT ST, AMERICAN FALLS, ID 83211-1362
(208) 226-3200
(208) 226-3218
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
O-331
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806849400
—
ID
01
—
O-331
OSTEOPATHIC LICENSURE
ID
Enumeration date
09/01/2006
Last updated
09/09/2011
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