# TIMOTHY GEORGE DUTRA

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

## Provider details

- **NPI number:** 1588650162
- **Gender:** Man
- **Credential:** DPM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | E33830 | CA | Yes |

## Other

- **Enumeration date:** 09/20/2005
- **Last updated:** 07/13/2026