# TIMOTHY F TIRRELL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1386026128
- **Gender:** Man
- **Credential:** MD, PHD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | A145045 | CA | — |
| 2086S0102X | Surgical Critical Care Physician | A145045 | CA | — |
| 2086S0120X | Pediatric Surgery Physician | A145045 | CA | Yes |

## Other

- **Enumeration date:** 06/28/2015
- **Last updated:** 11/11/2024