Provider Demographics
NPI:1538156344
Name:TIMNAK, CHARLES S (MD,)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:S
Last Name:TIMNAK
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Gender:M
Credentials:MD,
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Mailing Address - Street 1:4700 LAS VEGAS BLVD N
Mailing Address - Street 2:MIKE O'CALLAGHAN FEDERAL HOSPITAL
Mailing Address - City:NELLIS AFB
Mailing Address - State:NV
Mailing Address - Zip Code:89191-6600
Mailing Address - Country:US
Mailing Address - Phone:702-653-3880
Mailing Address - Fax:702-653-3883
Practice Address - Street 1:4700 LAS VEGAS BLVD N
Practice Address - Street 2:MIKE O'CALLAGHAN FEDERAL HOSPITAL
Practice Address - City:NELLIS AFB
Practice Address - State:NV
Practice Address - Zip Code:89191-6600
Practice Address - Country:US
Practice Address - Phone:702-653-3880
Practice Address - Fax:702-653-3883
Is Sole Proprietor?:No
Enumeration Date:2005-10-06
Last Update Date:2007-09-19
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Provider Licenses
StateLicense IDTaxonomies
OK220632084P0800X
NV121822084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry