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Individual

DR. CHARLES S TIMNAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.,

Contact information

Practice address
4700 LAS VEGAS BLVD N, MIKE O'CALLAGHAN FEDERAL HOSPITAL, NELLIS AFB, NV 89191-6600
(702) 653-3880
(702) 653-3883
Mailing address
4700 LAS VEGAS BLVD N, MIKE O'CALLAGHAN FEDERAL HOSPITAL, NELLIS AFB, NV 89191-6600
(702) 653-3880
(702) 653-3883

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
12182
NV
2084P0800X
Psychiatry Physician
Primary
22063
OK

Other

Enumeration date
10/06/2005
Last updated
09/19/2007
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