Provider Demographics
NPI:1902122526
Name:THOMAS, TIMOTHY KIOKO (MD)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:KIOKO
Last Name:THOMAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:4055 TUDOR CENTRE DR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-5932
Mailing Address - Country:US
Mailing Address - Phone:907-729-3400
Mailing Address - Fax:907-729-3429
Practice Address - Street 1:3900 AMBASSADOR DR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-5922
Practice Address - Country:US
Practice Address - Phone:907-729-3095
Practice Address - Fax:907-729-3652
Is Sole Proprietor?:No
Enumeration Date:2010-04-08
Last Update Date:2020-02-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AK3407207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine