Individual
DR. TIMOTHY DOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1601 W SAINT MARYS RD, TUCSON, AZ 85745-2623
(520) 872-6040
(520) 872-6007
Mailing address
2202 N FORBES BLVD, TUCSON, AZ 85745-1412
(520) 872-7536
(520) 872-7929
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
23789
AZ
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
23789
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
407678
—
AZ
Enumeration date
11/03/2006
Last updated
05/19/2014
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