Individual
DR. TIMOTHY PAUL MCBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8316 ARLINGTON BLVD, SUITE 300, FAIRFAX, VA 22031-5207
(703) 573-7600
(703) 560-3808
Mailing address
8316 ARLINGTON BLVD, SUITE 300, FAIRFAX, VA 22031-5207
(703) 573-7600
(703) 560-3808
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
0101046066
VA
207YP0228X
Pediatric Otolaryngology Physician
Primary
0101046066
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006535518
—
VA
Enumeration date
04/25/2006
Last updated
04/22/2008
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