Individual
SEAN MICHAEL TIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1919 LATHROP ST, FAIRBANKS, AK 99701-5937
(907) 457-5277
(907) 457-5278
Mailing address
1919 LATHROP ST, FAIRBANKS, AK 99701-5937
(907) 457-5277
(907) 457-5278
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
769
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MDA0059
—
AK
01
—
P00396941
MEDICARE RAILROAD
AK
Enumeration date
05/29/2007
Last updated
03/07/2023
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