Individual
DR. TIMOTHY ALLEN LIVERMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
260 E 15TH ST, MERCED, CA 95341-6216
(209) 381-1214
(209) 381-1215
Mailing address
260 E 15TH ST, MERCED, CA 95341-6216
(209) 381-1214
(209) 381-1215
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
G40734
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR11477F
—
CA
Enumeration date
09/08/2006
Last updated
02/22/2012
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