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Individual

DR. JOSHUA TIERNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
49401
KY
208600000X
Surgery Physician
Primary
DR.0058445
CO
208600000X
Surgery Physician
TL4017
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9000147134
CO
Enumeration date
06/13/2011
Last updated
03/17/2018
Update your record

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