Individual
MEGHAN MARY TIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
400 W 16TH ST, PUEBLO, CO 81003-2745
(719) 584-4000
Mailing address
400 W 16TH ST, PUEBLO, CO 81003-2745
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4255
CO
Other
Enumeration date
06/05/2012
Last updated
06/05/2012
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