Individual
TIMOTHY JAMES DURKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1510 S RESERVE ST, MISSOULA, MT 59801-4756
(406) 218-4945
(406) 218-4869
Mailing address
1510 S RESERVE ST, MISSOULA, MT 59801-4756
(406) 218-4945
(406) 218-4869
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
OS14541
FL
207PS0010X
Sports Medicine (Emergency Medicine) Physician
166042
MT
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
A-1501-09
NM
207PS0010X
Sports Medicine (Emergency Medicine) Physician
CDRH.0055714
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021275800
—
FL
01
—
JA162Z
MEDICARE PTAN
FL
Enumeration date
08/13/2007
Last updated
04/07/2026
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