Timothy Wayne Cork, CPRPBS

Practice location

Address

2201 Ironwood Pl, Coeur D Alene, ID 83814-2670

Phone

(208) 769-4222

Fax

(208) 771-0628

Registered specialties

Registry record

NPI

1174000566

Entity type

Individual

Sex (as registered)

Male

NPI issued

27 Jul 2018

Record last updated

27 Jul 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.