Healthcare Provider Details

I. General information

NPI: 1053362673
Provider Name (Legal Business Name): TIMOTHY JON ARNOTT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 01/13/2022
Certification Date: 01/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2520 S DOWNING ST
DENVER CO
80210-5818
US

IV. Provider business mailing address

2520 S DOWNING ST
DENVER CO
80210-5818
US

V. Phone/Fax

Practice location:
  • Phone: 303-282-3676
  • Fax: 530-237-0477
Mailing address:
  • Phone: 303-282-3676
  • Fax: 530-237-0477

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number13835C
License Number StateWY
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number57363
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberM-2158
License Number StateGU
# 4
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberG87967
License Number StateCA
# 5
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberCDR.0001260
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: