Organization
TIMOTHY J SLOAN MD, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY J SLOAN MD (MD)
(209) 339-9036
Entity
Organization
Contact information
Practice address
1800 N CALIFORNIA ST, STOCKTON, CA 95204
(209) 943-2000
Mailing address
PO BOX 986, WOODBRIDGE, CA 95258-0986
(209) 339-9036
(209) 339-1901
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
G35657
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G356570
—
CA
Enumeration date
01/27/2006
Last updated
08/04/2008
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