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Individual

TIMOTHY ALLAN CROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
HIS

Contact information

Practice address
934 W MAIN ST STE 1, HILLSBORO, OH 45133-7485
(937) 402-3000
Mailing address
1905 W NORTH ST, SPRINGFIELD, OH 45504-2956
(937) 717-0694
(937) 717-0862

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
02216
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
82-5224411
OH
Enumeration date
12/13/2019
Last updated
12/13/2019
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