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Individual

TIMOTHY N. SHOWALTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1240 LEE ST, CHARLOTTESVILLE, VA 22908-0001
(434) 924-5191
(434) 243-9789
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
0101251527
VA
2085R0001X
Radiation Oncology Physician
MD432095
PA
2085R0001X
Radiation Oncology Physician
MT184390
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0199087
NJ
05
102331130
PA
Enumeration date
05/23/2007
Last updated
08/11/2023
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