Timothy B Jolley in Puyallup - Pediatrics

Timothy B Jolley - NPI 1407907504

Timothy B Jolley is a Pediatrics in Puyallup, Washington. Timothy B Jolley practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Timothy B Jolley is 1407907504. The last update date is 2011-02-16.

Timothy B Jolley's current location address is 1322 3rd St Se Ste 240, Puyallup, Washington. You can contact this provider via phone number 2538481572 and fax number 2538413719. The mailing address for Timothy B Jolley is 1322 3rd St Se Ste 240, Puyallup, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Timothy B Jolley
Address 1322 3rd St Se Ste 240, Puyallup, Washington
Phone Number 2538481572
Fax Number 2538413719
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1407907504
Provider Enumeration Date 2007-01-15
Last Updated Date 2011-02-16

Provider Mailing Address Detail

Address 1322 3rd St Se Ste 240
City Puyallup
State Washington (WA)
Post Code 983723771
Phone Number 2538481572
Fax Number 2538413719

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No MD00015352
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1001502 WA --

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FAQs about Timothy B Jolley

What is the unique 10-digit identification code assigned to Timothy B Jolley by the Centers for Medicare & Medicaid Services?

The Timothy B Jolley has been issued the NPI (National Provider Identifier) 1407907504, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Timothy B Jolley is geographically located?

The Timothy B Jolley is physically situated at the following location: 1322 3Rd St Se Ste 240, Puyallup, WA, 983723771.

What is Timothy B Jolley's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Timothy B Jolley is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 208000000X.

On what date did the Timothy B Jolley receive its 1407907504 assignment from the Centers for Medicare & Medicaid Services?

The Timothy B Jolley was assigned its 1407907504 by the Centers for Medicare & Medicaid Services on 2007-01-15.

As of what date were the Timothy B Jolley's details last updated?

The information pertaining to the Timothy B Jolley, including its address, specialty, and other details, was most recently updated on 2011-02-16.

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