TIMOTHY BOCK ICENOGLE (MD) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1285683029
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Provider Addresses for TIMOTHY BOCK ICENOGLE (MD)
3415 W Horizon Ave
Spokane, WA 992088493
Phone: (509) 220-1900
Type: Location
100 Hillcrest Medical Blvd
Waco, TX 767128897
Phone: (254) 202-2000
Fax: (254) 202-5849
Type: Location
PO BOX 27128
SALT LAKE CITY, UT 841270128
Phone:
Type: Mailing
4403 HARRISON BLVD STE 3835
OGDEN, UT 844033331
Phone: (801) 387-3475
Fax: (801) 387-3480
Type: Location
3415, West Horizon Avenue, Spokane, Spokane County, Washington, 99208, United States
SPOKANE, WA 992088493
Phone: (509) 220-1900
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 99208)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Internal Medicine | WA | |
| Internal Medicine | OR | |
| - | WA | |
| Internal Medicine | WA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MT | |
| - | WA | |
| Emergency Medicine | WA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WA | |
| Diagnostic Radiology | OH | |
| Physician Assistant | WA |
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