Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY GEORGE DUTRA, DPM
ActiveTIMOTHY GEORGE DUTRA, DPM is a Sports Medicine (Orthopaedic) healthcare provider located in SAN LEANDRO, California. NPI 1588650162 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Orthopaedic) · SAN LEANDRO, CA
Registration Details
- NPI Number
- 1588650162
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 20, 2005 (20.944056553679 yrs)
- Last Updated
- Jul 8, 2007
- License
-
E33830 (CA)
Practice Information
- Address
-
13847 E 14TH ST#110ASAN LEANDRO, CA, 945782632Browse CA providers · Browse ZIP 94578
- Phone
- 5103517122
- Fax
- 5103511797
- Primary Specialty
-
Sports Medicine (Orthopaedic)
207XX0004X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.