Individual
DR. TIMOTHY D MISSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1003 WILLOW CREEK RD, PRESCOTT, AZ 86301-1641
(928) 771-5487
(928) 771-5471
Mailing address
PO BOX 11720, PRESCOTT, AZ 86304-1720
(928) 771-5487
(928) 771-5471
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
005426
AZ
207R00000X
Internal Medicine Physician
58.003262
OH
208M00000X
Hospitalist Physician
Primary
005426
AZ
208M00000X
Hospitalist Physician
58.003262
OH
Other
Enumeration date
05/06/2010
Last updated
03/06/2018
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