Individual
MR. TIMOTHY J VERMILLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1205 COPPER CREEK DR, PLEASANT HILL, IA 50327-7002
(515) 266-1199
(515) 266-0615
Mailing address
1205 COPPER CREEK DR, PLEASANT HILL, IA 50327-7002
(515) 266-1199
(515) 266-0615
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01866
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528059086
—
IA
Enumeration date
11/03/2005
Last updated
08/15/2012
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