Timothy J Dauwalder Do a Professional Medical Corporation

NPI #1689921884 in Claremont, California

Provider Information

NPI Number: 1689921884
Entity Type: Organization
Organization Name: Timothy J Dauwalder Do a Professional Medical Corporation
Primary Specialty: Family Medicine
Enumeration Date: Aug 7, 2012
Last Updated: Feb 23, 2016

Practice Location

Address: 150 W 1ST ST
Address 2: SUITE 300
City: Claremont
State: California
ZIP Code: 91711-4750
Phone: (909) 621-2522

Authorized Official

Name: TIMOTHY J DAUWALDER, DO
Title: OWNER
Phone: (909) 621-2522

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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