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Individual

DR. TIMOTHY WAYNE O'HARA

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D., M.P.H.

Contact information

Practice address
3235 ALBACORE ALY, SAN DIEGO, CA 92136-5199
(619) 556-7070
Mailing address
1674 YALE ST, CHULA VISTA, CA 91913-2630
(619) 946-7406

Taxonomy

Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
Primary
0101056203
VA

Other

Enumeration date
03/01/2006
Last updated
07/08/2007
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