Healthcare Provider Details

I. General information

NPI: 1720015118
Provider Name (Legal Business Name): TIMOTHY J MEIER PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/28/2006
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9165 W THUNDERBIRD RD STE 200
PEORIA AZ
85381-4847
US

IV. Provider business mailing address

9165 W THUNDERBIRD RD STE 200
PEORIA AZ
85381-4847
US

V. Phone/Fax

Practice location:
  • Phone: 623-876-3870
  • Fax:
Mailing address:
  • Phone: 623-876-3870
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number1984
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number10408
License Number StateMN
# 3
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number6311
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: