Individual
DR. TIMOTHY S. CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH, PHD
Contact information
Practice address
6400 PERKINS RD, BATON ROUGE, LA 70808-4124
(225) 763-2632
(225) 763-3014
Mailing address
6400 PERKINS RD, BATON ROUGE, LA 70808-4124
(225) 763-2632
(225) 763-3014
Taxonomy
Speciality
Code
Description
License number
State
1744R1102X
Research Study Specialist
Primary
MD.12793R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33934
LA BOARD OF PHARMACY
LA
01
—
BC6148503
LA CONTROLLED SUBSTANCE/REGULATED CHEMICAL LICENSE
LA
Enumeration date
01/09/2009
Last updated
01/09/2009
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