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NPI Code Detail

MEDICARE: DR. WM. TIMOTHY HIRONS MD

MEDICARE:  DR. WM. TIMOTHY HIRONS  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
1174400000XSpecialist01024913AIN
2207Y00000XOtolaryngology Physician01024913AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000841147OTHERINANTHEM
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922000173
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WM. TIMOTHY HIRONS MD
Provider Business Mailing Address
First Line : 1100 REID PKWY
Second Line : MEDICAL STAFF SERVICES
City : RICHMOND
State : IN
Zip : 47374-1157
Country : US
Telephone Number : 765-966-1600
Fax Number : 765-962-9641
Provider Business Practice Location Address
First Line : 101 S 10TH ST
Second Line :
City : RICHMOND
State : IN
Zip : 47374-5547
Country : US
Telephone Number : 765-966-1600
Fax Number : 765-962-9641
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2005
Last Update Date : 04/02/2014

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Directions to “ DR. WM. TIMOTHY HIRONS MD” Practice Location

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