Individual
DR. TIMOTHY R. ISAKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1050 W 10TH ST, ROLLA, MO 65401
(573) 426-2229
(573) 426-4914
Mailing address
1050 W 10TH ST, ROLLA, MO 65401-2905
(573) 364-9000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
036157148
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
2002018248
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208754804
—
MO
Enumeration date
01/29/2007
Last updated
04/01/2026
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