David L Dutra Dpm Inc in Jackson - Podiatrist

David L Dutra Dpm Inc - NPI 1043339328

David L Dutra Dpm Inc is a Podiatrist in Jackson, California. David L Dutra Dpm Inc practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for David L Dutra Dpm Inc is 1043339328. The last update date is 2011-04-27.

David L Dutra Dpm Inc's current location address is Po Box 938, Jackson, California. You can contact this provider via phone number 2092233030 and fax number 2092235864. The mailing address for David L Dutra Dpm Inc is Po Box 938, Jackson, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization David L Dutra Dpm Inc
Address Po Box 938, Jackson, California
Phone Number 2092233030
Fax Number 2092235864
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER PRES
Authorized Official Name Dutra L David
Credentials D.P.M.
Telephone Number 2092233030

NPI Number Detail

NPI Number 1043339328
Provider Enumeration Date 2007-03-28
Last Updated Date 2011-04-27

Provider Mailing Address Detail

Address Po Box 938
City Jackson
State California (CA)
Post Code 956420938
Phone Number 2092233030
Fax Number 2092235864

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No E3190
Definition:
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical

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FAQs about David L Dutra Dpm Inc

What is the unique identification code assigned to David L Dutra Dpm Inc by the Centers for Medicare & Medicaid Services?

The David L Dutra Dpm Inc has been issued the NPI (National Provider Identifier) 1043339328. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the David L Dutra Dpm Inc's physical address?

The David L Dutra Dpm Inc is physically located at Po Box 938, in the city of Jackson, CA, with the postal code 956420938.

What is David L Dutra Dpm Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The David L Dutra Dpm Inc's specialized field of practice is Podiatrist, and the corresponding taxonomy code that categorizes this area of specialization is 213E00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1043339328 to David L Dutra Dpm Inc?

The Centers for Medicare & Medicaid Services assigned the 1043339328 to David L Dutra Dpm Inc on 2007-03-28.

As of what date were the details related to David L Dutra Dpm Inc most recently updated or revised?

The information pertaining to David L Dutra Dpm Inc, including its address, specialty, and other relevant details, was last updated or revised on 2011-04-27.

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