Most Relevant Information
Provider Data
| NPI Number: | 1003012592 |
| Provider Name: | TIMOTHY JASON MCCORD D.O. |
| Entity Type: | Individual |
| Taxonomy Code: | 2084P0804X |
| Specialty: | Psychiatry & Neurology |
| License Number: | 05-33950 |
Most Important Dates
| Enumeration Date: | 06/22/2007 |
| Last Updated: | 06/14/2022 |
Provider Practice Location
200 MAINE ST STE A
LAWRENCE
KS
660441396
Practice Location Phone/Fax
| Phone: | 7858439192 |
| Fax: | 7858569191 |
Provider Mailing Location
200 MAINE ST STE A
LAWRENCE
KS
660441396
Provider Mailing Phone/Fax
| Phone: | 7858439192 |
| Fax: | 7858569191 |