Timothy J Decapite, MD
Dermatology in Tuba City, AZ. Individual provider (NPI-1).
NPI number1194868356
StatusActive
Last updated in NPPESOct 26, 2010
Details
- NPI
- 1194868356
- Entity type
- Individual (NPI-1)
- Name
- Timothy J Decapite
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 15, 2007
- Last updated
- Oct 26, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | D68599 | MD | Yes |
Practice location
167 N Main StTuba City, AZ 86045
Phone 928-283-2501
Mailing address
Po Box 600Tuba City, AZ 86045-0600
Phone 928-283-2501
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.