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1134128424
TIMOTHY P OLTERSDORF
FORT WORTH, TX
NPI
1134128424
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: TX F8973)
Enumeration Date
2005-07-19
Last Update Date
2014-03-31
Business Address
-- TIMOTHY P OLTERSDORF MD
1101 6TH AVE
FORT WORTH, TX 76104-4377
Phone number: 817-336-4638
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Mailing Address
-- TIMOTHY P OLTERSDORF MD
1101 6TH AVE
FORT WORTH, TX 76104-4377
Phone number: 817-336-4638
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