Timothy Suorsa Od

NPI 1225265382 - Optometrist - 152W00000X

NPI Details
NPI 1225265382
Enumeration Date 06/16/2009
Last Updated 09/02/2010
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name TIMOTHY P. TIMOTHY
Position CEO
Phone (559) 784-5127
Fax (559) 784-4288
Practice Location
524 W PUTNAM AVE
PORTERVILLE CA, 93257-3274, US
Phone (559) 784-5127
Fax (559) 784-4288
Business Location
524 W PUTNAM AVE
PORTERVILLE CA, 93257-3274, US
Phone (559) 784-5127
Fax (559) 784-4288
Toxanomy
Taxonomy Code 152W00000X
License State
License Number OPT 10864 TPA
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According to our database, Timothy Suorsa Od NPI is 1225265382, taxonomy code is 152W00000X and license number is OPT 10864 TPA, license state is located at . Timothy Suorsa Od physically located at 524 W Putnam Ave, Porterville CA, 93257-3274. NPI Number 1033115704 has the healthcare provider type.

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1225265382 NPI number is provided on an as is basis without warranty of any kind. 1225265382 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy Suorsa Od are for informational purposes only.