Individual
DR. TIMOTHY WHITMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6943 WERTZVILLE RD, ENOLA, PA 17025-1039
(717) 645-6074
Mailing address
6943 WERTZVILLE RD, ENOLA, PA 17025-1039
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OEG002943
PA
152W00000X
Optometrist
Primary
OPT.0003085
CO
Other
Enumeration date
06/29/2014
Last updated
10/16/2014
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