Individual
TIM FIFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 MEDICAL PLAZA DR, SUITE 225, ROSEVILLE, CA 95661-3043
(916) 782-1291
(916) 782-5992
Mailing address
1111 EXPOSITION BLVD, BUILDING 700, SACRAMENTO, CA 95815-4314
(916) 736-3399
(916) 736-3350
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A130563
CA
Other
Enumeration date
05/11/2009
Last updated
03/07/2017
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