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Organization
TIMOTHY SUORSA OD
Active
Organization
TIMOTHY SUORSA OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY P. SUORSA OD (CEO)
(559) 784-5127
Entity
Organization
Contact information
Practice address
524 W PUTNAM AVE, PORTERVILLE, CA 93257-3274
(559) 784-5127
(559) 784-4288
Mailing address
524 W PUTNAM AVE, PORTERVILLE, CA 93257-3274
(559) 784-5127
(559) 784-4288
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 10864 TPA
—
Other
Enumeration date
06/16/2009
Last updated
09/02/2010
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