Dyster, Timothy Gordon

Dyster, Timothy Gordon is an individual health care provider with primary practice located at 505 Parnassus Ave , San Francisco CA 94143-2204. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Dyster, Timothy Gordon can be contacted via phone (415) 514-4764.

Contact Information

Primary practice address
505 Parnassus Ave San Francisco CA 94143-2204
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A161656 California
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X A161656 California
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X A161656 California

Profile Details

NPI number 1083145692
LBN Legal business name Dyster, Timothy Gordon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2017
Last updated May 7th, 2024 - about last year

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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