Individual
DR. TIMOTHY JOSEPH YORK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
411 W RIVERSIDE ST, COVINGTON, VA 24426-1273
(540) 960-2111
(540) 960-2117
Mailing address
411 W RIVERSIDE ST, COVINGTON, VA 24426-1273
(540) 960-2111
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0102203160
VA
208000000X
Pediatrics Physician
1878
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811961154
ANTHEM BCBS
VA
01
—
1811961154
HIGHMARK BCBS
WV
05
—
1811961154
—
VA
05
—
3810002348
—
WV
Enumeration date
02/14/2006
Last updated
07/10/2013
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