Individual
DR. TIMOTHI J. BETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
14377 MANCHESTER RD, MANCHESTER, MO 63011-4091
(636) 438-4145
(636) 438-4170
Mailing address
14377 MANCHESTER RD, BALLWIN, MO 63011-4091
(636) 438-4145
(636) 438-4170
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-097195
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036097195
—
IL
Enumeration date
07/30/2006
Last updated
03/31/2025
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