Individual provider · Type 1 NPI

Timothy Tyler Daugherty, MD

Student in an Organized Health Care Education/Training Program · St. Louis, MO

NPI number 1699253450 Active

Practice location

1 Barnes Jewish Hospital Plz
St. Louis, MO 63110-1003

Call (314) 362-8065 Map

Mailing address

660 S Euclid Ave # 8121
St. Louis, MO 63110-1010

Other practice locations

  • 660 S Euclid Ave # 8121, St. Louis, MO 63110-1010 · (314) 362-8065
  • 1364 Clifton Rd NE, Atlanta, GA 30322-1059 · (404) 712-2000

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X2021020540 (MO)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1699253450

Timothy Tyler Daugherty, MD's National Provider Identifier is 1699253450, issued on Aug 3, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Louis, MO. The record was last updated on Jun 18, 2021.