Individual provider · Type 1 NPI

Timothy L. Shortnacy, PA

Medical Physician Assistant · Visalia, CA

NPI number 1679513840 Active

Practice location

400 W Mineral King Ave
Visalia, CA 93291-6237

Fax (559) 635-4024

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA13466 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1679513840

Timothy L. Shortnacy, PA's National Provider Identifier is 1679513840, issued on Jun 7, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Visalia, CA. The record was last updated on Jul 8, 2007.