Tim Mcnicoll MD INC
NPI #1144475864 in Simi Valley, California
Provider Information
- NPI Number
- 1144475864
- Entity Type
- Organization
- Organization Name
- Tim Mcnicoll MD INC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Nov 21, 2008
- Last Updated
- Feb 3, 2009
Practice Location
- Address
- 2876 SYCAMORE DR
- Address 2
- SUITE 101
- City
- Simi Valley
- State
- California
- ZIP Code
- 93065-1530
- Phone
- (805) 527-6424
Authorized Official
- Name
- TIMOTHY J MCNICOLL, MD
- Title
- PRESIDENT/OWNER
- Phone
- (805) 527-6424
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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