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NPI Code Detail

MEDICARE: DR. JOSHUA TIMOCK M.D.

MEDICARE: DR. JOSHUA TIMOCK 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
1208000000XPediatrics Physician68060MT
2208000000XPediatrics Physician49169CO
3208000000XPediatrics PhysicianMD2015-0674NM
4208000000XPediatrics Physician04-32053KS

General Provider Information

NPI Number : 1841386240
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSHUA TIMOCK M.D.
Provider Business Mailing Address
First Line : 4435 RONALD REAGAN BLVD
Second Line :
City : JOHNSTOWN
State : CO
Zip : 80534-6566
Country : US
Telephone Number : 970-619-8139
Fax Number :
Provider Business Practice Location Address
First Line : 4435 RONALD REAGAN BLVD
Second Line :
City : JOHNSTOWN
State : CO
Zip : 80534-6566
Country : US
Telephone Number : 970-619-8139
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2006
Last Update Date : 12/10/2025

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Directions to “ DR. JOSHUA TIMOCK M.D.” Practice Location

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