Individual
MR. TIMOTHY MICHAEL CHESTNUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7209 S. SOUTH MEADOWS RD, SPOKANE, WA 99223
(509) 994-5442
(509) 448-8917
Mailing address
7209 S. SOUTH MEADOWS RD, SPOKANE, WA 99223
(509) 994-5442
(509) 448-8917
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD 00020134
WA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD00020134
WA
207RP1001X
Pulmonary Disease Physician
MD00020134
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1066984
—
WA
Enumeration date
10/11/2005
Last updated
05/06/2013
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