Individual
MR. TIMOTHY JAMES DOTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1919 LINCOLN WAY, 415, COEUR D ALENE, ID 83814-2527
(208) 625-4595
(208) 625-4596
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-4000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA974
ID
Other
Enumeration date
05/31/2012
Last updated
10/06/2016
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