Individual
DR. JEREMY PATRICK TIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
UNIVERSITY OF UTAH SCHOOL OF MEDICINE, 30 NORTH 1900 EAST, RM 4C104, SALT LAKE CITY, UT 84132-0001
(801) 585-5559
Mailing address
10215 REAVIS GARDENS DR, SAINT LOUIS, MO 63123-7339
(801) 870-7868
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/19/2011
Last updated
04/19/2011
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