Individual
DR. ALLISON M TIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1755 COURT ST, REDDING, CA 96001-1721
(302) 478-8005
(530) 241-1174
Mailing address
3400 DATA DR, ATTN: CREDENTIALING/PAYER ENROLLMENT, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A15887
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025493
KAISER COMMERCIAL NUMBER
CO
05
—
74124846
—
CO
Enumeration date
07/25/2012
Last updated
03/22/2018
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