TIMOTHY J DAUWALDER DO A PROFESSIONAL MEDICAL CORPORATION NPI 1689921884

NPI Information

TIMOTHY J DAUWALDER DO A PROFESSIONAL MEDICAL CORPORATION is a family medicine in Claremont, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. TIMOTHY J DAUWALDER DO A PROFESSIONAL MEDICAL CORPORATION NPI is 1689921884. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

150 W 1ST ST
SUITE 300
CLAREMONT, CA
ZIP 91711-750
Phone: (909) 621-2522
Fax: (909) 941-6974

The provider's authorized official is Timothy J Dauwalder .
The authorized official title is Owner and has the following contact phone number (909) 621-2522.

The enumeration date for this NPI number is 8/7/2012 and was last updated on 2/23/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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