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Individual

DR. JOSHUA TIMOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
925 CORPORATE CNTR PKWY, SANTA ROSA, CA 95407-5451
(707) 303-3600
Mailing address
932 SILVER RAIN RD, LAWRENCE, KS 66049-5044
(970) 646-3583

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
04-32053
KS
208000000X
Pediatrics Physician
Primary
208736
CA
208000000X
Pediatrics Physician
Primary
49169
CO
208000000X
Pediatrics Physician
68060
MT
208000000X
Pediatrics Physician
MD2015-0674
NM

Other

Enumeration date
10/04/2006
Last updated
04/16/2026
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