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Individual

DR. TIMOTHY MELVIN DENEAU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
101S. 5TH ST; 11TH FLOOR - NATIONAL CITY TOWER, C/O HUMANA, INC, LOUISVILLE, KY 40202
(480) 256-0703
(502) 301-5506
Mailing address
7979 E PRINCESS DR UNIT 2, SCOTTSDALE, AZ 85255-5878
(480) 256-0703
(502) 301-5506

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3429
AZ
207Q00000X
Family Medicine Physician
562
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2019496
NV
Enumeration date
05/07/2007
Last updated
08/19/2018
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