Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NI0013X | Independent Medical Examiner | DC16610 | CA |
NPI | 1639599830 |
---|---|
Provider Name | Dr. Timothy W Markle |
First Address | Pasadena, CA 91106-2412 |
Second Address | Pasadena, CA 91106-2412 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2014 |
Last Update Date | 27/04/2014 |