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Timothy George Dutra, DPM
Orthopedic Foot and Ankle Surgery Physician in San Leandro, California
NPI 1588650162

Timothy George Dutra is a Orthopedic Foot and Ankle Surgery Physician based in San Leandro, CA and is specialized in Foot and Ankle Surgery. Timothy George Dutra practices in San Leandro, CA and has the professional credentials of DPM. The NPI Number for Timothy George Dutra is 1588650162 and holds a License No. E33830 (California).

The current practice location address for Timothy George Dutra is 13847 E 14Th St, San Leandro, CA and can be reached out via phone at 510-351-7122 and via fax at 510-351-1797.

Location: 13847 E 14Th St, San Leandro, CA, 94578-2632
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588650162
Provider Name
Timothy George Dutra
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
13847 E 14Th St, San Leandro, CA, 94578-2632
Phone Number
510-351-7122
Fax Number
510-351-1797
Provider Enumeration Date
09/20/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
13847 E 14Th St
City
San Leandro
State
California
Zip
94578-2632
Phone Number
510-351-7122
Fax Number
510-351-1797
person
Provider Business Mailing Address Details
Address
13847 E 14Th St
City
San Leandro
State
California
Zip
94578-2632
Phone Number
510-351-7122
Fax Number
510-351-1797
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Foot and Ankle Surgery
Taxonomy
207XX0004X
License No.
E33830 (California)
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.
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