Provider Demographics
NPI:1326333956
Name:GINTZ, TIMOTHY DUKE (DVM)
Entity Type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:DUKE
Last Name:GINTZ
Suffix:
Gender:M
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10234 PACIFIC AVE S
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98444-6048
Mailing Address - Country:US
Mailing Address - Phone:235-537-0241
Mailing Address - Fax:253-535-3587
Practice Address - Street 1:10234 PACIFIC AVE S
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98444-6048
Practice Address - Country:US
Practice Address - Phone:235-537-0241
Practice Address - Fax:253-535-3587
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-11
Last Update Date:2011-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAVT00003066174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian