Individual
DR. TIMOTHY W FROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1401 10TH ST, SUITE C, ALAMOGORDO, NM 88310-5012
(505) 437-4533
(505) 437-5009
Mailing address
1401 10TH ST, STE C, ALAMOGORDO, NM 88310-5012
(505) 437-4533
(505) 437-5009
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
93260
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013135
BCBS
NM
01
—
201074548
PRESBYTERIAN
NM
05
—
44378
—
NM
01
—
742841473
TAX ID
NM
Enumeration date
06/12/2006
Last updated
05/30/2017
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