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 |
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Address | Po Box 938, Jackson, California |
Phone Number | 2092233030 |
Fax Number | 2092235864 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER PRES |
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Authorized Official Name | Dutra L David |
Credentials | D.P.M. |
Telephone Number | 2092233030 |
NPI Number Detail
NPI Number | 1043339328 |
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Provider Enumeration Date | 2007-03-28 |
Last Updated Date | 2011-04-27 |
Provider Mailing Address Detail
Address | Po Box 938 |
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City | Jackson |
State | California (CA) |
Post Code | 956420938 |
Phone Number | 2092233030 |
Fax Number | 2092235864 |
Provider's Primary Taxonomy Detail
Speciality | Podiatrist |
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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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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.