Individual
DR. SEAN TIMPANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
305 E JEFFERSON ST, BOISE, ID 83712-6231
(208) 381-7095
Mailing address
305 E JEFFERSON ST, BOISE, ID 83712-6231
(208) 381-7095
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ML60292919
WA
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
Primary
M15265
ID
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2012
Last updated
07/02/2020
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