Individual
DR. MORGAN TIMOTHY HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
90 E MAIN ST, SUITE 3, NORTH EAST, PA 16428-1319
(814) 725-2715
(814) 725-5186
Mailing address
90 E MAIN ST, SUITE 3, NORTH EAST, PA 16428-1319
(814) 725-2715
(814) 725-5186
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC003377L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012954200006
—
PA
01
—
481559
HIGHMARK
PA
Enumeration date
07/26/2005
Last updated
11/15/2010
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