Individual
TIMOTHY KEELEY DORR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
145 HOLLIS ST, MANCHESTER, NH 03101-1235
(603) 626-9500
Mailing address
145 HOLLIS ST, MANCHESTER, NH 03101-1235
(603) 626-9500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1602
NH
Other
Enumeration date
02/12/2020
Last updated
01/28/2022
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