Individual provider · Type 1 NPI

Timothy R. Donnelly, P.A.

Medical Physician Assistant · San Diego, CA

NPI number 1083995609 Active

Practice location

1501 5th Ave, Suite 100
San Diego, CA 92101-3291

Call (619) 461-3717 Map

Fax (619) 461-5663

Mailing address

12285 Scripps Poway Pkwy
Poway, CA 92064-6149

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA12169 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1083995609

Timothy R. Donnelly, P.A.'s National Provider Identifier is 1083995609, issued on Sep 9, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in San Diego, CA. The record was last updated on Sep 27, 2018.