| Timothy J Dauwalder Do A Professional Medical Corporation | |
|
150 W 1st St Suite 300 Claremont CA 91711-4750 | |
| (909) 621-2522 | |
| (909) 941-6974 |
| Full Name | Timothy J Dauwalder Do A Professional Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 150 W 1st St, Claremont, California |
| Authorized Official Name and Position | Timothy J Dauwalder (OWNER) |
| Authorized Official Contact | 9096212522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy J Dauwalder Do A Professional Medical Corporation 150 W 1st St Suite 300 Claremont CA 91711-4750 Ph: (909) 621-2522 | Timothy J Dauwalder Do A Professional Medical Corporation 150 W 1st St Suite 300 Claremont CA 91711-4750 Ph: (909) 621-2522 |
| NPI Number | 1689921884 |
|---|---|
| Provider Enumeration Date | 08/07/2012 |
| Last Update Date | 02/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689921884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A7875 (California) | Primary |
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