Timothy Scott Ulleseit, PA-C

NPI #1245851120 in Los Gatos, California

Provider Information

NPI Number: 1245851120
Entity Type: Individual
Name: Timothy Scott Ulleseit, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: May 1, 2020
Last Updated: Nov 18, 2024

Practice Location

Address: 15425 LOS GATOS BLVD STE 120
City: Los Gatos
State: California
ZIP Code: 95032-2541
Phone: (408) 340-5700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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