person
Mr. Timothy R Donnelly, PA
Medical Physician Assistant in San Diego, California
NPI 1083995609

Timothy R Donnelly is a Medical Physician Assistant based in Poway, CA and is specialized in Medical. Timothy R Donnelly practices in San Diego, CA and has the professional credentials of PA. The NPI Number for Timothy R Donnelly is 1083995609 and holds a License No. PA12169 (California).

The current practice location address for Timothy R Donnelly is 1501 5Th Ave, San Diego, CA and can be reached out via phone at 619-461-3717 and via fax at 619-461-5663.

Location: 1501 5Th Ave, San Diego, CA, 92064-6149
person
Provider Profile Details
NPI Number
1083995609
Provider Name
Timothy R Donnelly
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1501 5Th Ave, San Diego, CA, 92064-6149
Phone Number
619-461-3717
Fax Number
619-461-5663
Provider Enumeration Date
09/09/2011
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
PA12169 01 CA CALIFORNIA LICENSE
institution
Provider Business Practice Location Address Details
Address
1501 5Th Ave
City
State
Zip
92101-3291
Phone Number
619-461-3717
Fax Number
619-461-5663
person
Provider Business Mailing Address Details
Address
1501 5Th Ave
City
State
Zip
92101-3291
Phone Number
619-461-3717
Fax Number
619-461-5663
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA12169 (California)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.