Individual
TIMOTHY MCCARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(909) 427-7830
Mailing address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(909) 427-7830
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G66411
CA
207RG0100X
Gastroenterology Physician
MD20388
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150199
—
OR
Enumeration date
12/01/2005
Last updated
07/16/2007
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