Individual provider · Type 1 NPI

Timothy B. Jolley, MD

General Practice Physician · Puyallup, WA

NPI number 1407907504 Active

Practice location

1322 3rd St SE Ste 240
Puyallup, WA 98372-3771

Call (253) 848-1572 Map

Fax (253) 841-3719

Mailing address

10209 136th St E
Puyallup, WA 98374-3076

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000XMD00015352 (WA)
General Practice Physician Primary 208D00000XMD00015352 (WA)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1407907504

Timothy B. Jolley, MD's National Provider Identifier is 1407907504, issued on Jan 15, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Puyallup, WA. The record was last updated on Feb 16, 2011.