Individual
TIMOTHY WILLIAM DEAKERS
Active
Individual
TIMOTHY WILLIAM DEAKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
G49229
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G492290
—
CA
01
—
00G492290 F90
CAL OPTIMA
CA
Enumeration date
09/30/2006
Last updated
05/14/2008
Update your record
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