Daryl Ray Dutter in Ripon - Family Medicine
Daryl Ray Dutter - NPI 1578568366
Daryl Ray Dutter is a Family Medicine in Ripon, California. Daryl Ray Dutter practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Daryl Ray Dutter is 1578568366. The last update date is 2020-02-13.
Daryl Ray Dutter's current location address is Po Box 210, Ripon, California. You can contact this provider via phone number 2095994211 and fax number 2095997348. The mailing address for Daryl Ray Dutter is Po Box 210, Ripon, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Daryl Ray Dutter |
|---|---|
| Address | Po Box 210, Ripon, California |
| Phone Number | 2095994211 |
| Fax Number | 2095997348 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1578568366 |
|---|---|
| Provider Enumeration Date | 2005-06-17 |
| Last Updated Date | 2020-02-13 |
Provider Mailing Address Detail
| Address | Po Box 210 |
|---|---|
| City | Ripon |
| State | California (CA) |
| Post Code | 9536602100 |
| Phone Number | 2095994211 |
| Fax Number | 2095997348 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | G57233 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G572330 | CA | -- | |
| 68-0311001 | CA | TAX ID | |
| 80009801 | CA | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Daryl Ray Dutter?
The Daryl Ray Dutter has been issued the NPI (National Provider Identifier) 1578568366 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Daryl Ray Dutter's physical address?
The Daryl Ray Dutter is physically located at Po Box 210, in the city of Ripon, CA, with the postal code 9536602100.
What is Daryl Ray Dutter's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Daryl Ray Dutter is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1578568366 to Daryl Ray Dutter?
The Centers for Medicare & Medicaid Services assigned the 1578568366 to Daryl Ray Dutter on 2005-06-17.
When was the information pertaining to Daryl Ray Dutter most recently updated or revised?
The details related to Daryl Ray Dutter, including its address, specialty, and other relevant information, were last updated or revised on 2020-02-13.
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