| Doctor Name: | TIMOTHY W ATKINSON |
| NPI Number: | 1265503742 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 260 |
| Business Practice Address: | 1060 Gaffney Rd # 7440 Commander, Usa-meddac-ak Attn Mcuc-mmd-qm(credentials) Ft Wainwright, AK - 997035001 |
| Business Phone Number: | 9073535418 |
| Business Fax Number: | 9073534847 |
| Mailing Address: | 1060 Gaffney Rd # 7440, Commander, Usa-meddac-ak Attn Mcuc-mmd-qm(credentials) FT WAINWRIGHT |
| State: | AK |
| Postal Code: | 997035001 |
| Phone Number: | 9073535418 |
| Fax Number: | 9073534847 |
| NPI Enumeration Date: | 11/13/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 260 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | AK |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |