Individual
MR. TIMOTHY DAVID HONTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
703 RITTER DRIVE, BEAVER, WV 25813
(304) 255-1300
(304) 255-5391
Mailing address
703 RITTER DR, GLEN MORGAN, WV 25813-7709
(304) 255-1300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
WV
Other
Enumeration date
05/17/2017
Last updated
02/14/2019
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