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Individual

TIMOTHY A. PEPPERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
320 SANTA FE DR, SUITE 308, ENCINITAS, CA 92024-5138
(760) 230-5188
(760) 230-5203
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(760) 230-5188
(760) 230-5203

Taxonomy

Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
G77254
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0093170
CA
Enumeration date
09/29/2006
Last updated
01/03/2020
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