| NPI | 1679900419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY RUPERT DOOLEY Physician 619-297-8641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA G69284) |
| Enumeration Date | 2013-10-10 |
| Last Update Date | 2022-07-08 |