Individual
DR. TIMOTHY C. SPEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
401 S WASHINGTON AVE, IOLA, KS 66749-3256
(620) 365-0151
(800) 713-3493
Mailing address
1408 EAST STREET, IOLA, KS 66749-3004
(620) 365-3115
(620) 365-7717
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0523246
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016668
MEDICARE GROUP
KS
05
—
100233960G
—
KS
01
—
106538
MC PERFORMING PROVIDER #
KS
Enumeration date
06/13/2005
Last updated
08/14/2025
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