Organization
TRENT J TIMSON DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRENT J TIMSON D.P.M. (OWENR)
(620) 241-3313
Entity
Organization
Contact information
Practice address
316 W 4TH ST, MCPHERSON, KS 67460-2301
(620) 241-3313
(620) 241-6967
Mailing address
316 W 4TH ST, MCPHERSON, KS 67460-2301
(620) 241-3313
(620) 241-6967
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1200301
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5067668
AETNA
KS
Enumeration date
11/14/2007
Last updated
04/20/2008
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