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1265793756
TIMOTHY JAMES DOTY
COEUR D ALENE, ID
NPI
1265793756
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA974)
Enumeration Date
2012-05-31
Last Update Date
2016-10-06
Business Address
Mr. TIMOTHY JAMES DOTY PA
1919 LINCOLN WAY 415
COEUR D ALENE, ID 83814-2527
Phone number: 208-625-4595
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Mailing Address
Mr. TIMOTHY JAMES DOTY PA
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814-6051
Phone number: 208-625-4000
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