Domer, Timothy

Domer, Timothy is an individual health care provider with primary practice located at 1601 W Saint Marys Rd , Tucson AZ 85745-2623. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Domer, Timothy can be contacted via phone (520) 872-6040.

Contact Information

Primary practice address
1601 W Saint Marys Rd Tucson AZ 85745-2623
Phone: (520) 872-6040
Fax: (520) 872-6007
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 23789 Arizona
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 23789 Arizona

Profile Details

NPI number 1942389770
LBN Legal business name Domer, Timothy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
Last updated May 19th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942389770 NPPES
Arizona MEDICAID 407678

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