Dr. Timothy Melvin Deneau, D.O.
Family Medicine in Louisville, KY. Individual provider (NPI-1).
NPI number1265645220
StatusActive
Last updated in NPPESAug 19, 2018
Details
- NPI
- 1265645220
- Entity type
- Individual (NPI-1)
- Name
- Dr. Timothy Melvin Deneau
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 7, 2007
- Last updated
- Aug 19, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 3429 | AZ | Yes |
| 207Q00000X | Family Medicine | 562 | NV |
Practice location
101s. 5th St; 11th Floor - National City TowerC/O Humana, INC
Louisville, KY 40202
Phone 480-256-0703 · Fax 502-301-5506
Mailing address
7979 E Princess Dr Unit 2Scottsdale, AZ 85255-5878
Phone 480-256-0703 · Fax 502-301-5506
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