Healthcare Provider Details

I. General information

NPI: 1053433441
Provider Name (Legal Business Name): TIMOTHY S DUERLER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2007
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 OSLOSKI RD
EUREKA MT
59917-9217
US

IV. Provider business mailing address

5450 S GREEN ST
MURRAY UT
84123-5632
US

V. Phone/Fax

Practice location:
  • Phone: 406-297-3145
  • Fax: 406-297-3364
Mailing address:
  • Phone: 801-486-4877
  • Fax: 801-214-7677

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number144979
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number14081
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: