Timothy B. Jolley, M.D.

General Practice Physician · Puyallup, WA

Individual Active NPI

NPI number 1407907504

Practice location

1322 3rd St SE Ste 240
Puyallup, WA 98372-3771
Phone
(253) 848-1572
Fax
(253) 841-3719

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NPI record

NPI
1407907504
Entity type
Individual (Type 1)
Enumeration date
January 15, 2007
Last updated
February 16, 2011
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Physician Primary 208D00000X MD00015352 WA
Pediatrics Physician 208000000X MD00015352 WA

Mailing address

10209 136TH St E
Puyallup, WA 98374-3076
Phone
(253) 848-1535
Fax
(253) 848-6537

About Dr. Jolley

Timothy B. Jolley, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 1322 3rd St SE Ste 240, Puyallup, WA 98372-3771. The NPI number 1407907504 was assigned on January 15, 2007 and the record was last updated on February 16, 2011.

Dr. Jolley lists 2 licenses in the registry: #MD00015352 (WA) for General Practice Physician; #MD00015352 (WA) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Timothy B. Jolley, M.D.?

The NPI number is 1407907504.

What is the phone number of Dr. Jolley?

The phone number listed for the practice location is (253) 848-1572.

Where is Dr. Jolley located?

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

What is the taxonomy code for Dr. Jolley?

The primary taxonomy code is 208D00000X – General Practice Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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