Individual
TIMOTHY GRANT MCNAUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
18300 HIGHWAY 18, APPLE VALLEY, CA 92307
(760) 242-2311
Mailing address
2100 POWELL STREET, STE 920, EMERYVILLE, CA 94608-1803
(510) 350-2600
(510) 879-9100
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A78159
CA
207R00000X
Internal Medicine Physician
A78159
CA
208D00000X
General Practice Physician
Primary
A78159
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A781590
—
CA
Enumeration date
06/15/2006
Last updated
04/19/2022
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