Organization
TIMOTHY K MCNICHOLS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY K MCNICHOLS MD (SOLE OWNER)
(520) 219-2474
Entity
Organization
Contact information
Practice address
6130 N LACHOLLA BLVD., #117, TUCSON, AZ 85741
(520) 219-2474
Mailing address
PO BOX 36210, TUCSON, AZ 85740-6210
(520) 219-2474
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
40509
AZ
Other
Enumeration date
11/26/2008
Last updated
11/26/2008
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