Healthcare Provider Details

I. General information

NPI: 1558377564
Provider Name (Legal Business Name): TIMOTHY D NARJES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2091 BOX BUTTE AVE STE 500
ALLIANCE NE
69301-4456
US

IV. Provider business mailing address

5990 MADISON RD
ALLIANCE NE
69301-5268
US

V. Phone/Fax

Practice location:
  • Phone: 308-762-2534
  • Fax: 308-762-2764
Mailing address:
  • Phone: 308-762-2534
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number23466
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: