Provider Demographics
NPI:1205864691
Name:BARRON, TIMOTHY PAUL (DO)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:PAUL
Last Name:BARRON
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:9501 FARRELL RD
Mailing Address - Street 2:DEWITT ARMY COMMUNITY HOSPITAL
Mailing Address - City:FORT BELVOIR
Mailing Address - State:VA
Mailing Address - Zip Code:22060-5901
Mailing Address - Country:US
Mailing Address - Phone:703-805-0342
Mailing Address - Fax:703-805-0731
Practice Address - Street 1:9501 FARRELL RD
Practice Address - Street 2:DEWITT ARMY COMMUNITY HOSPITAL
Practice Address - City:FORT BELVOIR
Practice Address - State:VA
Practice Address - Zip Code:22060-5901
Practice Address - Country:US
Practice Address - Phone:703-805-0342
Practice Address - Fax:703-805-0731
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-28
Last Update Date:2021-09-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE201207P00000X
PAOS021238P207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine