Individual
TIMOTHY W TOLLESTRUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3035 W HORIZON RIDGE PKWY STE 120, HENDERSON, NV 89052-4189
(702) 666-0463
(702) 666-0455
Mailing address
3035 W HORIZON RIDGE PKWY STE 120, HENDERSON, NV 89052-4189
(702) 666-0463
(702) 666-0455
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
13209
NV
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
13209
NV
Other
Enumeration date
08/25/2006
Last updated
03/11/2010
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