Individual
DR. TIMOTHY J HUNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 W AGENCY RD, WEST BURLINGTON, IA 52655-1645
(319) 754-4242
(319) 754-4079
Mailing address
1201 W AGENCY RD, WEST BURLINGTON, IA 52655-1645
(319) 754-4242
(319) 754-4079
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32117
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080177069
RAILROAD MEDICARE
IA
05
—
3159491
—
IA
01
—
40525
BLUECROSSBLUESHIELD
IA
Enumeration date
06/16/2005
Last updated
09/14/2011
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