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NPI Code Detail

MEDICARE: DR. TIMOTHY PAUL DOOLEY M.D.

MEDICARE: DR. TIMOTHY PAUL DOOLEY 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
1207XS0106XOrthopaedic Hand Surgery Physician17629NV
2207X00000XOrthopaedic Surgery Physician17629NV

General Provider Information

NPI Number : 1952675456
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TIMOTHY PAUL DOOLEY M.D.
Provider Business Mailing Address
First Line : 9480 DOUBLE DIAMOND PKWY STE 100
Second Line :
City : RENO
State : NV
Zip : 89521-5844
Country : US
Telephone Number : 775-786-1600
Fax Number : 775-786-7706
Provider Business Practice Location Address
First Line : 9480 DOUBLE DIAMOND PKWY STE 100
Second Line :
City : RENO
State : NV
Zip : 89521-5844
Country : US
Telephone Number : 775-786-1600
Fax Number : 775-786-7706
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2012
Last Update Date : 02/11/2023

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