Individual
MR. TIMOTHY JOHN OBRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.P.O.
Contact information
Practice address
1 MERCADO ST, 203, DURANGO, CO 81301-7300
(970) 259-9258
(970) 385-7262
Mailing address
1 MERCADO ST, 203, DURANGO, CO 81301-7300
(970) 259-9258
(970) 385-7262
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
1428
IL
224P00000X
Prosthetist
Primary
1428
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08002149
—
CO
Enumeration date
06/26/2006
Last updated
09/11/2025
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