Individual
JEREMY RILEY TIMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 4TH ST STE 5B, ALEXANDRIA, LA 71301-8421
(318) 769-3501
(318) 769-3502
Mailing address
201 4TH ST STE 5B, ALEXANDRIA, LA 71301-8421
(318) 769-3501
(318) 769-3502
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
200015
LA
208600000X
Surgery Physician
200015
LA
2086S0102X
Surgical Critical Care Physician
Primary
MD.200015
LA
2086S0127X
Trauma Surgery Physician
MD.200015
LA
Other
Enumeration date
06/24/2006
Last updated
08/22/2024
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