Most Relevant Information
Provider Data
| NPI Number: | 1003564923 |
| Provider Name: | TIMOTHY JASON HILLEY RADT |
| Entity Type: | Individual |
| Taxonomy Code: | 261QR0405X |
| Specialty: | Clinic/Center |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/10/2022 |
| Last Updated: | 03/10/2022 |
Provider Practice Location
737 E GRAND AVE
ESCONDIDO
CA
920254404
Practice Location Phone/Fax
| Phone: | 7607458478 |
| Fax: |
Provider Mailing Location
737 E GRAND AVE
ESCONDIDO
CA
920254404
Provider Mailing Phone/Fax
| Phone: | 7607458478 |
| Fax: |