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NPI Code Detail

MEDICARE: DR. TIMOTHY MARVIN BAHR M.D.

MEDICARE:  DR. TIMOTHY MARVIN BAHR  M.D.
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
12080N0001XNeonatal-Perinatal Medicine Physician10856837-1205UT

General Provider Information

NPI Number : 1558740316
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TIMOTHY MARVIN BAHR M.D.
Provider Business Mailing Address
First Line : 1034 N 500 W
Second Line :
City : PROVO
State : UT
Zip : 84604-3380
Country : US
Telephone Number : 801-357-7707
Fax Number :
Provider Business Practice Location Address
First Line : 1034 N 500 W
Second Line :
City : PROVO
State : UT
Zip : 84604-3380
Country : US
Telephone Number : 801-357-7414
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2015
Last Update Date : 04/13/2026

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Directions to “ DR. TIMOTHY MARVIN BAHR M.D.” Practice Location

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