MEDICARE: DR. TIMOTHY JON ARNOTT MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	13835C	WY
2	207Q00000X	Family Medicine Physician	57363	TN
3	207Q00000X	Family Medicine Physician	M-2158	GU
4	207Q00000X	Family Medicine Physician	G87967	CA
5	207Q00000X	Family Medicine Physician	CDR.0001260	CO

General Provider Information

NPI Number	:	1053362673
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TIMOTHY JON ARNOTT MD

Provider Business Mailing Address
First Line	:	2520 S DOWNING ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80210-5818
Country	:	US
Telephone Number	:	303-282-3676
Fax Number	:	530-237-0477

Provider Business Practice Location Address
First Line	:	2520 S DOWNING ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80210-5818
Country	:	US
Telephone Number	:	303-282-3676
Fax Number	:	530-237-0477

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	01/13/2022

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