Individual
TIMOTHY L PIONTEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
901 E 5TH ST, WASHINGTON, MO 63090-3127
(636) 239-8090
Mailing address
901 E 5TH ST, WASHINGTON, MO 63090-3127
(636) 239-8090
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
056536
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932170446
—
MO
01
—
P00628641
RAILROAD MEDICARE
MO
Enumeration date
02/01/2006
Last updated
05/07/2014
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