Timothy Gaffney
Physician Assistant in Missoula, MT(View on Map)
Full Name
Timothy Gaffney
NPI Number
1134732761
NPI Type
Individual Provider
Gender
Male
Enumeration Date
08/24/2020
Specialties
(Taxonomies)Code
363A00000X
390200000X
Primary Taxonomy
Yes
No
Licenses
State
Montana
License Number
MED-PAC-LIC-102492
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 12
500 W BROADWAY ST STE 320
City
Liberty Lake
Missoula
State
WA
MT
Postal Code
99019-0012
59802-4003
Country
US
US
Telephone Number
(406) 329-5615
(406) 329-5615
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 10/28/2021