Individual
TIMOTHY P GREYDANUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4102 PINION DR, 10TH MEDICAL GROUP, USAF ACADEMY, CO 80840-2502
(719) 333-7993
Mailing address
4102 PINION DR, 10TH MEDICAL GROUP, USAF ACADEMY, CO 80840-2502
(719) 333-7993
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00043993
WA
Other
Enumeration date
05/22/2006
Last updated
06/26/2015
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