Individual provider · Type 1 NPI

Timothy Earl Wiley, RDO

Technician/Technologist · San Jose, CA

NPI number 1750596755 Active

Practice location

227 N Jackson Ave
San Jose, CA 95116-1603

Call (408) 729-7115 Map

Fax (408) 729-7115

Mailing address

980 S Baywood Ave
San Jose, CA 95128-3310

Specialties and licenses

TaxonomyCodeLicense
Technician/Technologist Primary 156F00000XD3539 (CA)

Technician/Technologist: A broad category grouping different kinds of technologists and technicians. See individual definitions.

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About NPI 1750596755

Timothy Earl Wiley, RDO's National Provider Identifier is 1750596755, issued on May 11, 2007. The primary taxonomy on file is Technician/Technologist (156F00000X), and the practice location is in San Jose, CA. The record was last updated on Jul 9, 2007.