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Individual

STEPHEN RAY TIMMS

Active
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Individual

STEPHEN RAY TIMMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
17838
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000603669
MOUNTAIN STATE BCBS
05
0090236000
WV
05
0977813
OH
01
17838A
HEALTH PLAN OF UPPER OH V
01
234407
BLACK LUNG
01
55035705705
WV COMPENSATION
WV
01
5503570579J41
ANTHEM BCBS
Enumeration date
08/09/2005
Last updated
09/25/2025
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