Dutra, Timothy George

Dutra, Timothy George is an individual health care provider with primary practice located at 13847 E 14Th St #110A, San Leandro CA 94578-2632. He recently has only one registered license in Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, which is considered as his primary health care specialty. Dutra, Timothy George can be contacted via phone (510) 351-7122.

Contact Information

Primary practice address
13847 E 14Th St #110A San Leandro CA 94578-2632
Phone: (510) 351-7122
Fax: (510) 351-1797
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X E33830 California

Profile Details

NPI number 1588650162
LBN Legal business name Dutra, Timothy George
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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