Individual
MR. TIMOTHY L SHORTNACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
400 W MINERAL KING AVE, VISALIA, CA 93291-6237
(559) 624-2215
(559) 635-4024
Mailing address
400 W MINERAL KING AVE, VISALIA, CA 93291-6237
(559) 624-2215
(559) 635-4024
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA13466
CA
Other
Enumeration date
06/07/2006
Last updated
07/08/2007
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