Healthcare Provider Details

I. General information

NPI: 1770961849
Provider Name (Legal Business Name): TIMOTHY SCOTT TONEY JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2015
Last Update Date: 08/14/2023
Certification Date: 08/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

U. S. NMRTC YOKOSUKA FPO FPO, AP 96350
YOKOSUKA CA
96350
US

IV. Provider business mailing address

PSC 475 BOX 1871
FPO AP
96350-1871
US

V. Phone/Fax

Practice location:
  • Phone: 619-532-6474
  • Fax:
Mailing address:
  • Phone: 46-816-5505
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0101260859
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: