Individual
TIMOTHY L HORMEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1942 BRAEBURN CIR, SALEM, VA 24153-7388
(540) 725-3500
(540) 725-4449
Mailing address
1942 BRAEBURN CIR, SALEM, VA 24153-7388
(540) 725-3500
(540) 725-4449
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0101034184
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005857139
—
VA
01
—
130023623
RAILROAD MEDICARE
VA
Enumeration date
02/15/2006
Last updated
01/21/2013
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