Individual
DR. DAVID WILLIAM TIMOCHKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1130 LAKE PLAZA DR STE 230, COLORADO SPRINGS, CO 80906-3595
(719) 219-3819
(719) 219-0411
Mailing address
1130 LAKE PLAZA DR STE 230, COLORADO SPRINGS, CO 80906-3595
(719) 219-3819
(719) 219-0411
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1185
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80186572
—
CO
Enumeration date
09/07/2007
Last updated
03/30/2010
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