Individual
DR. FRED B TOMLINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MEDICAL DOCTOR
Contact information
Practice address
223 MOUNT HERMON RD # A, SCOTTS VALLEY, CA 95066-4086
(831) 462-1000
(831) 462-9519
Mailing address
223 MOUNT HERMON RD # A, SCOTTS VALLEY, CA 95066-4086
(831) 462-1000
(831) 462-9519
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
G8048
CA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
G80480
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000G80480
—
CA
01
—
942418404
IRS
—
Enumeration date
10/25/2005
Last updated
09/24/2008
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