Individual
MR. TIMOTHY SCOTT THOMAS I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
670 W FIREWEED LN STE 160, ANCHORAGE, AK 99503-2561
(907) 770-0862
Mailing address
21750 SHELTERING SPRUCE LOOP, CHUGIAK, AK 99567-5400
(808) 499-4253
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
122383
AK
Other
Enumeration date
03/26/2021
Last updated
03/26/2021
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