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Individual
DR. TIMOTHY R TWOMBLY
Active
Individual
DR. TIMOTHY R TWOMBLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
12297
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275696619
GROUP NPI
CA
01
—
DC12297
DC LICENSE
CA
01
—
ZZZ50052Z
BLUE SHIELD
CA
Enumeration date
02/23/2007
Last updated
08/17/2018
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