Individual
MR. TIMOTHY DAWAYNE BARMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
390 N SEPULVEDA BLVD, 1000, EL SEGUNDO, CA 90245-4475
(310) 343-6030
(310) 640-9690
Mailing address
4727 W 147TH ST APT 204, LAWNDALE, CA 90260-1307
(310) 977-9439
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA15444
CA
Other
Enumeration date
01/27/2007
Last updated
07/08/2007
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