Individual
TIMOTHY WHITWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
8051 S EMERSON AVE STE 200, INDIANAPOLIS, IN 46237-8632
(317) 865-2955
Mailing address
8051 S EMERSON AVE STE 200, INDIANAPOLIS, IN 46237-8632
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003812A
IN
Other
Enumeration date
07/28/2022
Last updated
12/02/2025
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