Individual
DR. TIMOTHY P. GLEASON
Active
Individual
DR. TIMOTHY P. GLEASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
MD00032138
WA
2085R0202X
Diagnostic Radiology Physician
Primary
MD00032138
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0368767
L&I-RADIA REST OF WA
WA
01
—
0368768
L&I-RADIA KING CTY
WA
01
—
0368769
L&I-SWEDISH RADIA EDMONDS
WA
01
—
0368770
L&I-EVERGREEN RADIA
WA
01
—
0405705
L&I-SEATTLE RADIOLOGY
WA
05
—
1008913
—
WA
Enumeration date
06/26/2006
Last updated
01/17/2024
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