Individual
TIMOTHY R O'LEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1350 US HIGHWAY 61, FESTUS, MO 63028-4124
(636) 933-0303
(636) 933-0293
Mailing address
11475 OLDE CABIN RD STE 200, SAINT LOUIS, MO 63141-7129
(314) 991-8210
(314) 991-8206
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
036095208
IL
2085R0001X
Radiation Oncology Physician
Primary
102187
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204995302
—
MO
Enumeration date
08/21/2006
Last updated
06/21/2021
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