Most Relevant Information
Provider Data
| NPI Number: | 1003220575 |
| Provider Name: | TIMOTHY JURNAK ATC |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/12/2014 |
| Last Updated: | 08/05/2021 |
Provider Practice Location
831 GROVE ST
AVOCA
PA
186411615
Practice Location Phone/Fax
| Phone: | 5702412241 |
| Fax: |
Provider Mailing Location
831 GROVE ST
AVOCA
PA
186411615
Provider Mailing Phone/Fax
| Phone: | 5702412241 |
| Fax: |