Individual
DR. TIMOTHY ALBERT DUMONTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3901 CAPITAL MALL DR SW, STE A, OLYMPIA, WA 98502-8654
(360) 455-5144
(360) 491-6328
Mailing address
PO BOX 368, OLYMPIA, WA 98507-0368
(360) 491-8439
(360) 491-6328
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
10201
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194774877
BCBS
MT
05
—
1194774877
—
MT
Enumeration date
05/09/2006
Last updated
10/23/2014
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