Individual
DR. TIMOTHY PHEASANT ANGELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
903 EMBARCADERO DR, SUITE 3, EL DORADO HILLS, CA 95762-4098
(916) 933-9870
(916) 933-2708
Mailing address
903 EMBARCADERO DR, STE 4, EL DORADO HILLS, CA 95762-4098
(916) 933-9870
(916) 933-3540
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
30036
CA
Other
Enumeration date
04/11/2007
Last updated
09/24/2016
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