TIMOTHY GEORGE DUTRA

SAN LEANDRO, CA
NPI1588650162
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery
(Licence: CA  E33830)
Enumeration Date2005-09-20
Last Update Date2007-07-08
Business Address
-- TIMOTHY GEORGE DUTRA DPM
13847 E 14TH ST #110A
SAN LEANDRO, CA 94578-2632
Phone number: 510-351-7122
Mailing Address
-- TIMOTHY GEORGE DUTRA DPM
13847 E 14TH ST #110A
SAN LEANDRO, CA 94578-2632
Phone number: 510-351-7122
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