| Doctor Name: | DR. TIMOTHY R. ISAKSON |
| NPI Number: | 1487790168 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 2002018248 |
| Business Practice Address: | 1050 W 10th St Rolla, MO - 65401 |
| Business Phone Number: | 5734262229 |
| Business Fax Number: | 5734264914 |
| Mailing Address: | Po Box 579, ROLLA |
| State: | MO |
| Postal Code: | 65402 |
| Phone Number: | 5734583425 |
| Fax Number: | 5734262282 |
| NPI Enumeration Date: | 01/29/2007 |
| NPI Last Update Date: | 12/23/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207V00000X |
| License Number: | 2002018248 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |