Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY A THEOBALD, DO
ActiveTIMOTHY A THEOBALD, DO is a Family Medicine healthcare provider located in SANFORD, Maine. NPI 1104895648 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · SANFORD, ME
Registration Details
- NPI Number
- 1104895648
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 16, 2006 (20.224643729739 yrs)
- Last Updated
- Apr 1, 2019
- License
-
1523 (ME)
Practice Information
- Address
-
25A JUNE ST STE 111SANFORD, ME, 040732642Browse ME providers · Browse ZIP 04073
- Phone
- 2074907998
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in SANFORD, ME
| Name | Credential | NPI |
|---|---|---|
| SPIROS P LAZOS | — | 1912968967 |
| STEVEN J SCHNEIDER | M.D. | 1376509646 |
| MR. RICHARD S TOCKMAN | MD | 1689631392 |
| WILLIAM F FRANK | MD | 1437257169 |
| JOHN B MCGUCKIN | MD | 1811095565 |
| MARY L CALLISON | M.D. | 1285790030 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.