Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | A55979 | CA |
Y | 208600000X | Surgeon | A55979 | CA |
N | 2086S0102X | Surgical Critical Care | A55979 | CA |
N | 2086S0129X | Vascular Surgeon | A55979 | CA |
NPI | 1023074283 |
---|---|
Provider Name | Timothy A Chuter |
First Address | San Francisco, CA 94143-0001 |
Second Address | San Francisco, CA 94143-2202 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2006 |
Last Update Date | 10/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A559790 | (05) | CA |
E47300 | (02) | CA |