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Search › California › 208000000X

Tim Sullivan, MD

NPI 1750481099 · on the registry since 2006 · sole proprietor

Practice

Address
12791 Cabezut Rd
Sonora, CA 95370
Phone
(209) 532-5524
Fax
(209) 532-1513
Organisation at this address
Foothill Pediatrics Medical Group, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
208000000X
208000000X
Also registered as
208000000X
Licence states on file
IA, CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-07-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California