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Individual

DR. TIMOTHY GREENE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
28078 BAXTER RD STE 424, MURRIETA, CA 92563-1404
(951) 679-1020
(951) 679-5844
Mailing address
28078 BAXTER RD STE 424, MURRIETA, CA 92563-1404
(951) 679-1020
(951) 679-5844

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E5511
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
SC006662
PA

Other

Enumeration date
06/30/2015
Last updated
07/03/2020
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