MEDICARE: DR. TIMOTHY M RANKIN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208200000X	Plastic Surgery Physician	A123407	CA

General Provider Information

NPI Number	:	1003127572
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TIMOTHY M RANKIN M.D.

Provider Business Mailing Address
First Line	:	1501 N CAMPBELL AVE
Second Line	:	DEPT OF SURGERY
City	:	TUCSON
State	:	AZ
Zip	:	85724-0001
Country	:	US
Telephone Number	:	714-457-1786
Fax Number	:

Provider Business Practice Location Address
First Line	:	1652 TIBURON BLVD
Second Line	:
City	:	TIBURON
State	:	CA
Zip	:	94920-2512
Country	:	US
Telephone Number	:	415-727-9666
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2010
Last Update Date	:	04/02/2025

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