Individual
DR. TIMOTHY GRIBBIN TOMLINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
267 N CANYON DR, NCMC SPECIALTY CLINIC, GOODING, ID 83330-5500
(208) 934-8829
Mailing address
355 BRACKEN ST N, P.O. BOX 602, TWIN FALLS, ID 83301-4513
(208) 734-6089
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
P134
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002858600
—
ID
Enumeration date
01/14/2007
Last updated
12/26/2012
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