Individual
DR. WM. TIMOTHY HIRONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 S 10TH ST, RICHMOND, IN 47374-5547
(765) 966-1600
(765) 962-9641
Mailing address
1100 REID PKWY, MEDICAL STAFF SERVICES, RICHMOND, IN 47374-1157
(765) 966-1600
(765) 962-9641
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
01024913A
IN
207Y00000X
Otolaryngology Physician
Primary
01024913A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000841147
ANTHEM
IN
05
—
100352850
—
IN
Enumeration date
06/01/2005
Last updated
04/02/2014
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