Individual
TIMOTHY A DAMRON
Active
Individual
TIMOTHY A DAMRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
15124
WV
207RC0000X
Cardiovascular Disease Physician
35.083882
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000290591
OH MEDICAID UNISON
OH
01
—
000000675429
ANTHEM BCBS
KY
05
—
0073423000
—
WV
01
—
0779439
OH MEDICAID MOLINA
OH
05
—
0779439
—
OH
01
—
310917085220
OH MEDICAID CARESOURCE
OH
05
—
64071400
—
KY
01
—
P00803885
RAILROAD MEDICARE
OH
Enumeration date
06/08/2006
Last updated
06/05/2020
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