Individual
DR. TIMOTHY S BALTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
00011490
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
332100111
—
AL
05
—
332134111
—
AL
01
—
51017797
BCBS OF ALABAMA
AL
Enumeration date
06/15/2006
Last updated
01/30/2012
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