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Individual

DR. PAUL C TIMMERMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1215 3RD ST SW, ROANOKE, VA 24016-4611
(540) 981-1439
(540) 345-5446
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5715

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
0101042049
VA
207N00000X
Dermatology Physician
Primary
0101042049
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005900654
VA
01
242780
ANTHEM OF VA PROVIDER NUM
VA
Enumeration date
05/31/2006
Last updated
08/15/2022
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