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NPI Code Detail

MEDICARE: TIMOTHY D KLEMAN D.O.

MEDICARE: TIMOTHY D KLEMAN D.O.
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
1207Q00000XFamily Medicine Physician4445AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710977293
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIMOTHY D KLEMAN D.O.
Provider Business Mailing Address
First Line : PO BOX 188
Second Line :
City : MARANA
State : AZ
Zip : 85653-0188
Country : US
Telephone Number : 520-682-4111
Fax Number : 520-818-3630
Provider Business Practice Location Address
First Line : 16701 N ORACLE RD
Second Line : STE 135
City : TUCSON
State : AZ
Zip : 85739-9102
Country : US
Telephone Number : 520-825-6763
Fax Number : 520-825-6841
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2005
Last Update Date : 07/20/2015

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1740773274 — MS. SARAH-GRACE A MURPHY MD
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Directions to “ TIMOTHY D KLEMAN D.O.” Practice Location

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