Timothy R Donnelly P.A.

NPI 1083995609 - Physician Assistant - 363AM0700X

NPI Details
NPI 1083995609
Gender Male
Enumeration Date 09/09/2011
Last Updated 05/14/2014
Entity Type Individual
Active Over 5 years ago
Practice Location
1501 5TH AVE
SUITE 100
SAN DIEGO CA, 92101-3291, US
Phone (619) 461-3717
Fax (619) 461-5663
Business Location
1501 5TH AVE
SUITE 100
SAN DIEGO CA, 92101-3291, US
Phone (619) 461-3717
Fax (619) 461-5663
Toxanomy
Taxonomy Code 363AM0700X
License State California
License Number PA12169
Remove 1083995609 NPI Number
 

According to our database, Mr. Timothy R Donnelly P.A. NPI is 1083995609, taxonomy code is 363AM0700X and license number is PA12169, license state is located at California. Timothy R Donnelly P.A. physically located at 1501 5th Ave, San Diego CA, 92101-3291. NPI Number Timothy R Donnelly P.A. has the Individual type.

Sponsored links

1083995609 NPI number is provided on an as is basis without warranty of any kind. 1083995609 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy R Donnelly P.A. are for informational purposes only.