Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207T00000X | Neurosurgeon | 7835 | AZ |
NPI | 1073147153 |
---|---|
Provider Name | Timothy Cheves |
First Address | Tucson, AZ 85742-9018 |
Second Address | Tucson, AZ 85710-6160 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2020 |
Last Update Date | 25/05/2020 |